Organization Active NPI

Soheil Ahghari

  • Community/Retail Pharmacy
  • Vista, CA
National Provider Identifier
1003216029
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51943 Issued in CA
Legal business name
SOHEIL AHGHARI
Practice address
2067 W Vista Way
Ste#195
Vista, CA 92083-6031
Phone
(760) 842-1700
Fax
(760) 842-1745
NPI assigned
Aug 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Soheil Ahghari, RPH
Title
Owner
Phone
(760) 842-1700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 51943 CA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2067 W Vista Way
Ste#195
Vista, CA 92083-6031

Mailing address

2067 W Vista Way
Ste#195
Vista, CA 92083-6031
Phone (760) 842-1700

Other identifiers 1

IdentifierTypeStateIssuer
2147520OtherPK

Other names 1

  • Greenfield Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1003216029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY",
            "address_2": "STE#195",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836031",
            "telephone_number": "760-842-1700",
            "fax_number": "760-842-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY",
            "address_2": "STE#195",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836031",
            "telephone_number": "760-842-1700",
            "fax_number": "760-842-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHEIL AHGHARI",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "AHGHARI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-842-1700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51943",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.