Organization Active NPI

American Health Solutions Pharmacy, Inc

  • Pharmacy
  • Los Angeles, CA
National Provider Identifier
1043356488
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY45259 Issued in CA
Legal business name
AMERICAN HEALTH SOLUTIONS PHARMACY, INC
Practice address
3463 Overland Ave
Los Angeles, CA 90034-5419
Phone
(310) 838-7422
Fax
(310) 838-7423
NPI assigned
Jan 30, 2007
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. David Mohaber, PHARM D
Title
Pharmacist in Charge
Phone
(310) 838-7422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY45259 CA Primary

Addresses

Primary practice location

3463 Overland Ave
Los Angeles, CA 90034-5419

Mailing address

3463 Overland Ave
Los Angeles, CA 90034-5419
Phone (310) 838-7422

Other identifiers 1

IdentifierTypeStateIssuer
PHA452590MedicaidCA

National Provider Directory

National Provider Directory

Locations

3463 Overland Ave
Los Angeles, CA 90034
Phone (310) 838-7422

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1043356488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3463 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345419",
            "telephone_number": "310-838-7422",
            "fax_number": "310-838-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3463 OVERLAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345419",
            "telephone_number": "310-838-7422",
            "fax_number": "310-838-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTH SOLUTIONS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "MOHABER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "310-838-7422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY45259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA452590",
            "state": "CA"
        }
    ],
    "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 Jun 14, 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.

Verify at the official NPI Registry.