Organization Active NPI

Fardin Dadvand

Doing business as Pharmacy 2000

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1326049867
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA444940MedicaidCA

Other names 1

  • PHARMACY 2000 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.