Active NPI
Fardin Dadvand
Doing business as Pharmacy 2000
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1326049867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FARDIN DADVAND
- Doing business as
- Pharmacy 2000
- Practice address
- 1646 Westwood Blvd
Los Angeles, CA 90024-5604 - Phone
- (310) 234-9991
- Fax
- (310) 234-1299
- NPI assigned
- Aug 9, 2005
- Last updated
- Apr 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Fardin Dadvand, PHARM. D.
- Title
- Owner
- Phone
- (310) 234-9991
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY44494 | CA | |
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1646 Westwood Blvd
Los Angeles, CA 90024-5604
Mailing address
1646 Westwood Blvd
Los Angeles, CA 90024-5604
Phone (310) 234-9991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA444940 | Medicaid | CA |
Other names 1
- PHARMACY 2000
National Provider Directory
National Provider DirectoryLocations
1646 Westwood Blvd
Los Angeles, CA 90024
Phone (310) 234-9991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650931200000",
"number": "1326049867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 WESTWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245604",
"telephone_number": "310-234-9991",
"fax_number": "310-234-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1646 WESTWOOD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245604",
"telephone_number": "310-234-9991",
"fax_number": "310-234-1299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARDIN DADVAND",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-09",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A",
"authorized_official_last_name": "DADVAND",
"authorized_official_first_name": "FARDIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-234-9991",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM. D."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY44494",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA444940",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHARMACY 2000",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PHARMACY 2000",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.