Active NPI
Sherry Khadavi, PHARM.D.
- Pharmacist
- Studio City, CA
National Provider Identifier
1194063289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56205
- Practice address
- 3311 Dona Maria Dr
Studio City, CA 91604-4263 - Phone
- (310) 924-8366
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- 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 | 56205 | CA | Primary |
Addresses
Primary practice location
3311 Dona Maria Dr
Studio City, CA 91604-4263
Mailing address
3311 Dona Maria Dr
Studio City, CA 91604-4263
Phone (310) 924-8366
Other names 1
- Sherry Bral
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56205 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1194063289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 DONA MARIA DR",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916044263",
"telephone_number": "310-924-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 DONA MARIA DR",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916044263",
"telephone_number": "310-924-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHADAVI",
"first_name": "SHERRY",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "BRAL",
"credential": "PHARM.D",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.