Active NPI
Melina Derzakharian
- Pharmacist
- Burbank, CA
National Provider Identifier
1881989077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53681
- Practice address
- 1800 W Empire Ave
T-1362 Target Pharmacy
Burbank, CA 91504 - Phone
- (818) 238-0239
- Fax
- (818) 238-0239
- NPI assigned
- Jun 15, 2011
- Last updated
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53681 | CA | Primary |
Addresses
Primary practice location
1800 W Empire Ave
T-1362 Target Pharmacy
Burbank, CA 91504
Mailing address
1800 W Empire Ave
T-1362 Target Pharmacy
Burbank, CA 91504
Phone (818) 238-0239
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53681 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1881989077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W EMPIRE AVE",
"address_2": "T-1362 TARGET PHARMACY",
"city": "BURBANK",
"state": "CA",
"postal_code": "91504",
"telephone_number": "818-238-0239",
"fax_number": "818-238-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W EMPIRE AVE",
"address_2": "T-1362 TARGET PHARMACY",
"city": "BURBANK",
"state": "CA",
"postal_code": "91504",
"telephone_number": "818-238-0239",
"fax_number": "818-238-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERZAKHARIAN",
"first_name": "MELINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "53681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.