Mojdeh Rouhani, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

48684 Issued in CA

Practice address

19950 Rinaldi St Ste 102
Porter Ranch, CA 91326-4141

Phone

(818) 360-1915

Fax

(818) 368-4987

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wholerx Inc

  dba Porter Ranch Pharmacy

  • Community/Retail Pharmacy
  • Porter Ranch, CA
  • NPI 1538350541
  NPD (past) Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1154908572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19950 RINALDI ST STE 102",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264141",
            "telephone_number": "818-360-1915",
            "fax_number": "818-367-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19950 RINALDI ST STE 102",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264141",
            "telephone_number": "818-360-1915",
            "fax_number": "818-368-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUHANI",
        "first_name": "MOJDEH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "48684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1538350541",
            "identifier": "48684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regents of the University of California (UCLA Integrated Provider Network)
• Resolution Therapy Services Inc
• Leobardo Reyes
• Rinaldi Pharmacy, Inc.
• Rose Senior Care, Inc.
• Royal Recovery and Treatment Center
• Jacob Philip Rubin, MD
• Fredrick Matthew Russo, MD.
• Krysta Danielle Russo, BCBA
• Jacob Hyunwoo Ryang

• Community/Retail Pharmacy in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.