Active NPI
Timon Samaan
- Pharmacist
- Glendale, CA
National Provider Identifier
1275050569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76534
- Practice address
- 1717 N Verdugo Rd
Apt 411
Glendale, CA 91205 - Phone
- (619) 734-6980
- NPI assigned
- Aug 28, 2017
- Sex
- Male
- 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 | 76534 | CA | Primary |
Addresses
Primary practice location
1717 N Verdugo Rd
Apt 411
Glendale, CA 91205
Mailing address
2037 Verdugo Blvd
Montrose, CA 91020-1626
Phone (619) 734-6980
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76534 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503878400000",
"number": "1275050569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2037 VERDUGO BLVD",
"city": "MONTROSE",
"state": "CA",
"postal_code": "910201626",
"telephone_number": "619-734-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 N VERDUGO RD",
"address_2": "APT 411",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91205",
"telephone_number": "619-734-6980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAAN",
"first_name": "TIMON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-28",
"last_updated": "2017-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "76534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.