Active NPI
Bahram Samouha, PHARM D
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1033287412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45531
- Practice address
- 8722 W Pico Blvd
Los Angeles, CA 90035 - Phone
- (310) 657-6999
- Fax
- (310) 657-7979
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 45531 | CA | Primary |
Addresses
Primary practice location
8722 W Pico Blvd
Los Angeles, CA 90035
Mailing address
311 N Palm Dr
Beverly Hills, CA 90210
Phone (310) 273-2181
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 |
|---|---|---|---|
| 45531 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Pico Pharmacy Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Century Pico Pharmacy
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1770687725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1033287412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N PALM DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90210",
"telephone_number": "310-273-2181",
"fax_number": "310-657-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8722 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90035",
"telephone_number": "310-657-6999",
"fax_number": "310-657-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMOUHA",
"first_name": "BAHRAM",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.