Individual provider Active NPI

Ruben Akhamzadeh, PHARM. D

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1114371960
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70925 Issued in CA
Practice address
6360 W 3Rd St
Los Angeles, CA 90036-3155
Phone
(310) 734-9351
NPI assigned
Apr 19, 2016
Last updated
May 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70925 CA Primary

Addresses

Primary practice location

6360 W 3Rd St
Los Angeles, CA 90036-3155

Mailing address

6360 W 3Rd St
Los Angeles, CA 90036-3155
Phone (310) 734-9351

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
70925CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1114371960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363155",
            "telephone_number": "310-734-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363155",
            "telephone_number": "310-734-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHAMZADEH",
        "first_name": "RUBEN",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70925",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 22, 2023; 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.