Active NPI
Wasem Eshak, R.PH
- Pharmacist
- Reseda, CA
National Provider Identifier
1063756872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59848
- Practice address
- 7742 Darby Ave
Reseda, CA 91335 - Phone
- (310) 210-0142
- NPI assigned
- Nov 16, 2012
- Last updated
- Nov 16, 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 | 59848 | CA | Primary |
Addresses
Primary practice location
7742 Darby Ave
Reseda, CA 91335
Mailing address
7742 Darby Ave
Reseda, CA 91335
Phone (310) 210-0142
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59848 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1063756872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7742 DARBY AVE",
"city": "RESEDA",
"state": "CA",
"postal_code": "91335",
"telephone_number": "310-210-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7742 DARBY AVE",
"city": "RESEDA",
"state": "CA",
"postal_code": "91335",
"telephone_number": "310-210-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESHAK",
"first_name": "WASEM",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.