Provider Demographics
NPI:1255946299
Name:KARP, VY (PHARMD, BCSCP)
Entity type:Individual
Prefix:DR
First Name:VY
Middle Name:
Last Name:KARP
Suffix:
Gender:F
Credentials:PHARMD, BCSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6638 ALLSTON ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-4719
Mailing Address - Country:US
Mailing Address - Phone:818-987-7628
Mailing Address - Fax:
Practice Address - Street 1:20 COMMERCE WAY STE 2
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1057
Practice Address - Country:US
Practice Address - Phone:877-903-2685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV20325183500000X
CTPCT.0015258183500000X
OH03441668183500000X
AZS025768183500000X
MAB121015291835C0207X
MAPH239820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835C0207XPharmacy Service ProvidersPharmacistCompounded Sterile Preparations