Provider Demographics
NPI:1043197221
Name:KHACHATRYAN, YEVA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:YEVA
Middle Name:
Last Name:KHACHATRYAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 STEPHANIE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-1321
Mailing Address - Country:US
Mailing Address - Phone:781-492-6163
Mailing Address - Fax:
Practice Address - Street 1:572 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-3350
Practice Address - Country:US
Practice Address - Phone:781-246-2497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH1002657183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist