Rami Elattar, RPH, BCOP

Primary specialty

Oncology PharmacistTaxonomy code 1835X0200X

License

72614 Issued in CA

Practice address

850 Fair Oaks Ave Ste 300
Arroyo Grande, CA 93420-3929

Phone

(805) 474-5322

NPI assigned

Apr 27, 2020

Last updated

Apr 27, 2020By the provider in NPPES

Sex

Male

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 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1205457660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S HOLT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342510",
            "telephone_number": "617-943-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 300",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-474-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELATTAR",
        "first_name": "RAMI",
        "credential": "RPH, BCOP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "CA",
            "license": "72614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY - REGISTERED PHARMACIST LICENSE",
            "identifier": "72614",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY SPECIALTIES - BOARD CERTIFIED ONCOLOGY PHARMACIST",
            "identifier": "5151457",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OncoEMR.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "850 Fair Oaks Ave Ste 300",
            "city": "Arroyo Grande",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934203929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Oncology Pharmacist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Oncology Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.