Active NPI
Jasmen Keshishean
- Pharmacy Technician
- Glendale, CA
National Provider Identifier
1982802757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- TCH54857
- Practice address
- 610 N Central Ave
#110
Glendale, CA 91203 - Phone
- (818) 244-8155
- Fax
- (818) 956-0258
- NPI assigned
- Jul 3, 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TCH54857 | CA | Primary |
Addresses
Primary practice location
610 N Central Ave
#110
Glendale, CA 91203
Mailing address
460 Myrtle St
#107
Glendale, CO 91203
Phone (818) 241-7247
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
| License | State | Type | Specialty |
|---|---|---|---|
| TCH54857 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982802757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 MYRTLE ST",
"address_2": "#107",
"city": "GLENDALE",
"state": "CO",
"postal_code": "91203",
"telephone_number": "818-241-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N CENTRAL AVE",
"address_2": "#110",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-244-8155",
"fax_number": "818-956-0258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESHISHEAN",
"first_name": "JASMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "TCH54857",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.