Organization Active NPI

Sherman Care Enterprise,Inc

Doing business as Mesa Care Pharmacy

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1063501054
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHERMAN CARE ENTERPRISE,INC
Doing business as
Mesa Care Pharmacy
Practice address
7218 Van Nuys Blvd Ste B
Van Nuys, CA 91405-6803
Phone
(818) 785-6049
Fax
(818) 785-5907
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Mr. Babak Kohanteb
Title
President/Ceo/Cfo/Director
Phone
(818) 785-6049

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY50719 CA
Community/Retail Pharmacy 3336C0003X PHY50719 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

7218 Van Nuys Blvd Ste B
Van Nuys, CA 91405-6803

Mailing address

7218 Van Nuys Blvd
#B
Van Nuys, CA 91405-6800
Phone (818) 785-6049

Other identifiers 1

IdentifierTypeStateIssuer
PHY57998OtherCABOARD OF PHARMACY

Other names 1

  • MESA CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mesa Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1063501054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 VAN NUYS BLVD",
            "address_2": "#B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056800",
            "telephone_number": "818-785-6049",
            "fax_number": "818-785-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 VAN NUYS BLVD STE B",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056803",
            "telephone_number": "818-785-6049",
            "fax_number": "818-785-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN CARE ENTERPRISE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "KOHANTEB",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO/DIRECTOR",
        "authorized_official_telephone_number": "818-785-6049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50719",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50719",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY57998",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.