Alex Tateos Shahverdian, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

88701 Issued in CA

Practice address

856 Health Sciences Rd # 4030
Irvine, CA 92617-3058

Phone

(949) 824-0708

NPI assigned

Oct 3, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1104645563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 HEALTH SCIENCES RD # 4030",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173058",
            "telephone_number": "949-824-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 HEALTH SCIENCES RD # 4030",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173058",
            "telephone_number": "949-824-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHVERDIAN",
        "first_name": "ALEX",
        "middle_name": "TATEOS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "88701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahla P Rahmatullah M.D. Inc
• Shahnaz Bonyanpoor
• Mandana Shahoveisi, M.A.
• Shahriyarpour and Shafaee Dental Practice Inc.
• Shahram Shahriyarpour, D.D.S.
• Banafsheh B Shaibani, MD
• Ruhi Shaikh
• Saleem Shaker
• Yasaman Shakeraneh
• Shakib Chiropractic Inc.

• Pharmacist in Irvine, CA
• Providers in Irvine, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.