Individual provider Active NPI

Amir Shawn Kohan, PHARM D

  • Pharmacist
  • Encino, CA
National Provider Identifier
1174831028
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 64521 Issued in CA
Practice address
16060 Ventura Blvd Ste 109
Encino, CA 91436-4427
Phone
(818) 387-8119
NPI assigned
Sep 14, 2010
Last updated
Mar 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 64521 CA Primary
Specialty Pharmacy 3336S0011X 51052 CA

Addresses

Primary practice location

16060 Ventura Blvd Ste 109
Encino, CA 91436-4427

Mailing address

16060 Ventura Blvd Ste 109
Encino, CA 91436-4427
Phone (818) 387-8119

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
RPH 64521CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Encino Family Pharmacy Inc CurrentSince Jun 16, 2024 Accepting new patients
Encino Family Pharmacy Inc Specialty Pharmacy Current Accepting new patients

Locations

16060 Ventura Blvd
Ste 109
Encino, CA 91436
Phone (818) 387-8119

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1174831028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16060 VENTURA BLVD STE 109",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364427",
            "telephone_number": "818-387-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16060 VENTURA BLVD STE 109",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364427",
            "telephone_number": "818-387-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHAN",
        "first_name": "AMIR",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 64521",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "51052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.