Individual provider Active NPI

Gurgen Bagdasarian, PHARM.D.

  • Pharmacist
  • Glendale, CA
National Provider Identifier
1922380716
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60426 Issued in CA
Practice address
1248 S Glendale Ave Ste M
Glendale, CA 91205-3273
Phone
(818) 637-2177
Fax
(818) 637-2831
NPI assigned
Sep 16, 2011
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60426 CA Primary

Addresses

Primary practice location

1248 S Glendale Ave Ste M
Glendale, CA 91205-3273

Mailing address

1248 S Glendale Ave Ste M
Glendale, CA 91205-3273
Phone (818) 637-2177

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
60426CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ararat Pharmacy Group, Inc. CurrentSince Mar 16, 2021 Accepting new patients
Ararat Pharmacy Group Inc Current Accepting new patients

Locations

1248 S Glendale Ave
Ste M
Glendale, CA 91205
Phone (818) 637-2177

Interoperability endpoints

  • Direct secure messaging: araratrx1997@araratpharmacy.libertysoftwaredirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1922380716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 S GLENDALE AVE STE M",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053273",
            "telephone_number": "818-637-2177",
            "fax_number": "818-637-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 S GLENDALE AVE STE M",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053273",
            "telephone_number": "818-637-2177",
            "fax_number": "818-637-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDASARIAN",
        "first_name": "GURGEN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "60426",
            "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 Jul 1, 2013; 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.