Active NPI
Rafeek Iskander
- Pharmacist
- Simi Valley, CA
National Provider Identifier
1194045989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61913
- Practice address
- 5845 E Los Angeles Ave
Simi Valley, CA 93063-4256 - Phone
- (805) 522-2029
- Fax
- (805) 522-3218
- NPI assigned
- Jun 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61913 | CA | Primary |
Addresses
Primary practice location
5845 E Los Angeles Ave
Simi Valley, CA 93063-4256
Mailing address
160 Macademia LN
Simi Valley, CA 93065-6913
Phone (805) 620-2476
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61913 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275523200000",
"number": "1194045989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 MACADEMIA LN",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930656913",
"telephone_number": "805-620-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5845 E LOS ANGELES AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930634256",
"telephone_number": "805-522-2029",
"fax_number": "805-522-3218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKANDER",
"first_name": "RAFEEK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-03",
"last_updated": "2010-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.