Individual provider Active NPI

Anahit Tagalyan

  • Pharmacist
  • Pasadena, CA
National Provider Identifier
1952027500
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
00673930 Issued in CA
Practice address
2376 E Colorado Blvd
Pasadena, CA 91107-4249
Phone
(626) 768-4040
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00673930 CA Primary

Addresses

Primary practice location

2376 E Colorado Blvd
Pasadena, CA 91107-4249

Mailing address

2376 E Colorado Blvd
Pasadena, CA 91107-4249
Phone (626) 768-4040

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

LicenseStateTypeSpecialty
00673930CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Oct 23, 2022 Accepting new patients
Walgreen Co PastSince Oct 23, 2022 Accepting new patients

Locations

2376 E Colorado Blvd
Pasadena, CA 91107
Phone (626) 768-4040

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1952027500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074249",
            "telephone_number": "626-768-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 E COLORADO BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074249",
            "telephone_number": "626-768-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGALYAN",
        "first_name": "ANAHIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "00673930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.