Active NPI
Mohsen Khordehforosh, PHARM. D.
- Pharmacist
- Charlotte, NC
National Provider Identifier
1013266568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14518
- Practice address
- 1711 Central Ave
Charlotte, NC 28205 - Phone
- (704) 301-3278
- Fax
- (704) 366-1903
- NPI assigned
- Aug 30, 2012
- Last updated
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14518 | NC | Primary |
Addresses
Primary practice location
1711 Central Ave
Charlotte, NC 28205
Mailing address
6904 Sardis Green Court
Charlotte, NC 28270
Phone (704) 301-3278
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14518 | NC | MD | Mental Health Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1013266568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6904 SARDIS GREEN COURT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28270",
"telephone_number": "704-301-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 CENTRAL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28205",
"telephone_number": "704-301-3278",
"fax_number": "704-366-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHORDEHFOROSH",
"first_name": "MOHSEN",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.