Active NPI
Leda Yacoubian
- Pharmacist
- Santa Monica, CA
National Provider Identifier
1891976551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047818
- Practice address
- 2412 Pico Blvd
Santa Monica, CA 90405-1827 - Phone
- (310) 450-7624
- NPI assigned
- Nov 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 047818 | NY | Primary |
Addresses
Primary practice location
2412 Pico Blvd
Santa Monica, CA 90405-1827
Mailing address
5028 Shirley Ave
Tarzana, CA 91356-4428
Phone (818) 514-6629
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Santa Monica, CA
- NPI 1366551897
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1891976551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5028 SHIRLEY AVE",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564428",
"telephone_number": "818-514-6629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 PICO BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904051827",
"telephone_number": "310-450-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACOUBIAN",
"first_name": "LEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.