Individual provider Active NPI

Yakov Suleymanov, PHARM.D

  • Pharmacist
  • Agoura Hills, CA
National Provider Identifier
1013566561
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
79578 Issued in CA
Practice address
30313 Canwood St Ste 24
Agoura Hills, CA 91301-2066
Phone
(818) 770-2300
Fax
(818) 338-0123
NPI assigned
Sep 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 79578 CA Primary

Addresses

Primary practice location

30313 Canwood St Ste 24
Agoura Hills, CA 91301-2066

Mailing address

30313 Canwood St Ste 24
Agoura Hills, CA 91301-2066
Phone (818) 770-2300

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

LicenseStateTypeSpecialty
79578CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Agoura Wellness RX Inc Past Accepting new patients
Agoura Wellness RX Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1013566561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST STE 24",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012066",
            "telephone_number": "818-770-2300",
            "fax_number": "818-338-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30313 CANWOOD ST STE 24",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012066",
            "telephone_number": "818-770-2300",
            "fax_number": "818-338-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEYMANOV",
        "first_name": "YAKOV",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-07",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "79578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.