Individual provider Active NPI

Seta Setrak, PHARMACY TECH

  • Pharmacy Technician
  • Glendale, CA
National Provider Identifier
1881248375
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
66162 Issued in CA
Practice address
1400 W Kenneth Rd
Glendale, CA 91201-1422
Phone
(818) 242-4158
Fax
(818) 247-8593
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 66162 CA Primary

Addresses

Primary practice location

1400 W Kenneth Rd
Glendale, CA 91201-1422

Mailing address

1012 S Adams St Apt 4
Glendale, CA 91205-4407
Phone (818) 549-1358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1881248375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 S ADAMS ST APT 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054407",
            "telephone_number": "818-549-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W KENNETH RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011422",
            "telephone_number": "818-242-4158",
            "fax_number": "818-247-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETRAK",
        "first_name": "SETA",
        "credential": "PHARMACY TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "66162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.