NPIMap

Organization Active NPI

Basso Pharmacy, Inc.

  • Pharmacy
  • Agoura Hills, CA
National Provider Identifier
1205301520
Registry record updated Dec 9, 2020
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Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BASSO PHARMACY, INC.
Practice address
28880 Michelle Dr
Agoura Hills, CA 91301-2131
Phone
(818) 634-4198
Fax
(818) 436-0518
NPI assigned
Oct 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Alireza Alibanaei, PHARM D.
Title
President
Phone
(818) 347-1645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

28880 Michelle Dr
Agoura Hills, CA 91301-2131

Mailing address

PO Box 2248
Agoura Hills, CA 91376-2248
Phone (818) 347-1645

National Provider Directory

National Provider Directory
Tax ID family
Basso Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1205301520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2248",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913762248",
            "telephone_number": "818-347-1645",
            "fax_number": "818-347-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28880 MICHELLE DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012131",
            "telephone_number": "818-634-4198",
            "fax_number": "818-436-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSO PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-13",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "ALIBANAEI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-347-1645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.