Individual provider Active NPI

Susanna Keshishian, PHARM D

  • Pharmacist
  • Glendale, CA
National Provider Identifier
1972814796
Registry record updated Jun 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 54817 Issued in CA
Practice address
821 Americana Way
Glendale, CA 91210-1509
Phone
(818) 243-1126
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 54817 CA Primary

Addresses

Primary practice location

821 Americana Way
Glendale, CA 91210-1509

Mailing address

3397 Country Club Dr
Glendale, CA 91208-1717
Phone (818) 429-4470

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
RPH 54817CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Doran Pharmacy Inc. Current Accepting new patients
Doran Pharmacy Inc. Current Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 3

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277510400000",
    "number": "1972814796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 COUNTRY CLUB DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081717",
            "telephone_number": "818-429-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 AMERICANA WAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912101509",
            "telephone_number": "818-243-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHISHIAN",
        "first_name": "SUSANNA",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 54817",
            "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 Jun 26, 2010; 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.