Individual provider Active NPI

Siamak Kiani Keivan, RPH

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1215077888
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30856 Issued in TX
Practice address
9411 Dyer St Ste a
El Paso, TX 79924-6407
Phone
(915) 400-9900
Fax
(915) 400-9600
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30856 TX Primary

Addresses

Primary practice location

9411 Dyer St Ste a
El Paso, TX 79924-6407

Mailing address

PO Box 4850
El Paso, TX 79914-4850
Phone (915) 400-9900

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
30856TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Toshko Inc CurrentSince Mar 22, 2020 Accepting new patients

Locations

9411 Dyer St
Ste A
El Paso, TX 79924
Phone (915) 400-9900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1215077888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4850",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799144850",
            "telephone_number": "915-400-9900",
            "fax_number": "915-400-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 DYER ST STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799246407",
            "telephone_number": "915-400-9900",
            "fax_number": "915-400-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIVAN",
        "first_name": "SIAMAK",
        "middle_name": "KIANI",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "30856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2026; 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.