Individual provider Active NPI

Lilit Pogosyan, RPH

  • Geriatric Pharmacist
  • Kingsburg, CA
National Provider Identifier
1992383764
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
82439 Issued in CA
Practice address
1506 Draper St
Kingsburg, CA 93631-1909
Phone
(559) 897-5111
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 82439 CA Primary

Addresses

Primary practice location

1506 Draper St
Kingsburg, CA 93631-1909

Mailing address

7212 N Stacia Ave
Fresno, CA 93720-0311
Phone (559) 457-9309

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
82439CAMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Model Drug Inc PastSince Apr 6, 2021 Accepting new patients
Model Drug Inc PastSince Apr 6, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1992383764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 N STACIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200311",
            "telephone_number": "559-457-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 DRAPER ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311909",
            "telephone_number": "559-897-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGOSYAN",
        "first_name": "LILIT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "82439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.