Active NPI
Tamara Hilitskaya
- Pharmacist
- Studio City, CA
National Provider Identifier
1962040915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81725
- Practice address
- 12143 Ventura Blvd
Studio City, CA 91604-2515 - Phone
- (818) 980-1502
- NPI assigned
- Dec 19, 2019
- Last updated
- Dec 19, 2019
- 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 | 81725 | CA | Primary |
Addresses
Primary practice location
12143 Ventura Blvd
Studio City, CA 91604-2515
Mailing address
5633 Colfax Ave Apt 202
North Hollywood, CA 91601-1703
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thilitskaya@westernu.edu |
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 |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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, 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": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1962040915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5633 COLFAX AVE APT 202",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916011703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12143 VENTURA BLVD",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042515",
"telephone_number": "818-980-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILITSKAYA",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81725",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thilitskaya@westernu.edu",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "12143 Ventura Blvd",
"city": "Studio City",
"state": "CA",
"country_code": "US",
"postal_code": "916042515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.