DR. LARRY ERESHEFSKY (NPI# 1952308090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952308090 |
| Entity Type | Individual |
| Full Name | DR. LARRY ERESHEFSKY |
| Credential | PHARM.D. |
| Practice Address |
1509 Wilson Ter Wing 55 Main Floor Glendale CA 91206-4007 |
| Mailing Address |
2671 Astral Dr Los Angeles CA 90046-1707 |
| Practice Telephone | 8182541658 |
| Practice Fax Number | 8185458048 |
| Mailing Telephone | 3104158131 |
| Mailing Fax Number | 3235127197 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
30285 | CA | Pharmacy Service Providers |
| Street Address |
1509 WILSON TER WING 55 MAIN FLOOR |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737867 | Linda Lee | Physician Assistant | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-15 |
| 1669079281 | Daniel Trabulus | Marriage & Family Therapist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-06 |
| 1437766938 | Lena Linda Mazmanyan | Pharmacist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-29 |
| 1639784515 | Peter Kwaku Boateng | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-09 |
| 1811500945 | Nathaniel Jordan Khoe | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-28 |
| 1720691413 | Miguel A Santiago Cruz | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-24 |
| 1386256188 | Ronda Armatrading | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-21 |
| 1396356465 | Joanne Inawat Lopez | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-12 |
| 1093324949 | Tigran Tiraturyan Md Inc | Internal Medicine | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-07-27 |
| 1528684073 | Martin Alvarado | Physical Therapist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-06-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
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| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531527 | Talia Puzantian | Pharmacist | 324 Lawson Pl, Glendale, CA 91202-1211 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457918 | Abdulla Nooristani | Pharmacist | 3630 Business Dr Ste D, Sacramento, CA 95820-2179 | 2020-05-04 |
| 1811534878 | Susan Lee | Pharmacist | 9362 Canterbury Ln, Garden Grove, CA 92841-3415 | 2019-12-09 |
| 1669963294 | Geoffrey Charles Henrietta | Pharmacist | 19205 Almond Rd, Castro Valley, CA 94546-3033 | 2018-05-18 |
| 1689034498 | Meredyth Keast-devine | Pharmacist | 4875 Shadow Canyon Rd Bldg B, Templeton, CA 93465-9714 | 2016-03-07 |
| 1922330638 | Christopher Ching | Pharmacist | 1380 Howard St # 130, San Francisco, CA 94103-2638 | 2010-02-04 |
| 1588856850 | Luriko Jean Ajari | Pharmacist | 2356 Sutter Street, Fourth Floor, San Francisco, CA 94115-1648 | 2007-08-10 |
| 1104020841 | Mark David Watanabe | Pharmacist | 1380 Howard St Rm 130, San Francisco, CA 94103 | 2007-06-14 |
| 1568672400 | Van Viet Do | Pharmacist | 2418 Hummel Ct, San Jose, CA 95148-2510 | 2007-05-22 |
| 1861610693 | Bruce David Miller | Pharmacist | 3057 S Higuera St, Spc # 53, San Luis Obispo, CA 93401-6625 | 2007-04-24 |
| 1316009830 | Michael Francis Pondrom | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2006-12-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.