Organization Active NPI

Simi Care Pharmacy, Inc.

Doing business as Simi Care Pharmacy

  • Community/Retail Pharmacy
  • Simi Valley, CA
National Provider Identifier
1073153557
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SIMI CARE PHARMACY, INC.
Doing business as
Simi Care Pharmacy
Practice address
2925 Sycamore Dr Ste 100
Simi Valley, CA 93065-1208
Phone
(805) 624-7772
Fax
(805) 624-7730
NPI assigned
Jan 13, 2020
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Asher KashanchiNPI 1083051825
Title
Pharmacist-in-Charge and Ceo
Phone
(818) 389-9837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2925 Sycamore Dr Ste 100
Simi Valley, CA 93065-1208

Mailing address

2925 Sycamore Dr Ste 100
Simi Valley, CA 93065-1208
Phone (805) 624-7772

Other names 1

  • Simi Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200807000938 CA DME Supplier - Pharmacy 9638594690 Practice locations: Simi Valley, CA
O20210503002822 CA Part B Supplier - Pharmacy 9638594690 Practice locations: Simi Valley, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Simi Care Pharmacy2925 Sycamore Dr, Simi Valley, CA 93065-1208(805) 624-7772 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 31, 2020

National Provider Directory

National Provider Directory

Locations

2925 Sycamore Dr
Ste 100
Simi Valley, CA 93065
Phone (805) 624-7772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1073153557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 100",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "805-624-7772",
            "fax_number": "805-624-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 100",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "805-624-7772",
            "fax_number": "805-624-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMI CARE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "KASHANCHI",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE AND CEO",
        "authorized_official_telephone_number": "818-389-9837"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simi Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.