Farhad Foroutan

Primary specialty

PharmacistTaxonomy code 183500000X

License

I068502 Issued in NY

Practice address

2975 Delk Rd SE
Marietta, GA 30067-5318

Phone

(770) 933-9782

NPI assigned

Nov 23, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Marietta, GA
  • NPI 1134134240
  NPD (past)
• Rite Aid of New York Inc

  • Community/Retail Pharmacy
  • Niagara Falls, NY
  • NPI 1619086923
  NPD (past)
• Rite Aid of New York Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1225795487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 DELK RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675318",
            "telephone_number": "770-933-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 DELK RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675318",
            "telephone_number": "770-933-9782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143012231",
            "country_code": "US",
            "telephone_number": "716-282-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOROUTAN",
        "first_name": "FARHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I068502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forever Active Medical, L.L.C.
• Forman Lab & Screening Services
• Jodi Ellen Forman, LCSW
• Symphony Deseray Forman
• Luis Enrique Fornia, DC
• Mary Eloise Fort
• Joyce Elizabeth Fortanbary, APC
• Julie R Fortenberry, LMFT
• Daniel Fortes, M.D.
• Emily Fortier, RBT

• All providers in Marietta, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.