Organization Active NPI

Kaster Consultants

  • Community/Retail Pharmacy
  • Marina del Rey, CA
National Provider Identifier
1336254358
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KASTER CONSULTANTS
Practice address
4558 Admiralty Way
Marina del Rey, CA 90292-5417
Phone
(310) 823-5311
Fax
(310) 577-7562
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Mahiyar ArjomandNPI 1013408186
Title
Owner
Phone
(310) 823-5311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4558 Admiralty Way
Marina del Rey, CA 90292-5417

Mailing address

4558 Admiralty Way
Marina del Rey, CA 90292-5417
Phone (310) 823-5311

Other names 1

  • Marina Del Rey Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190203000017 CA Part B Supplier - Mass Immunization (Roster Biller Only) 5092052720 Practice locations: Marina del Rey, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2291415Marina del Rey Pharmacy4558 Admiralty Way, Marina del Rey, CA 90292Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Locations

4558 Admiralty Way
Marina del Rey, CA 90292
Phone (310) 823-5311

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1336254358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4558 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925417",
            "telephone_number": "310-823-5311",
            "fax_number": "310-577-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4558 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925417",
            "telephone_number": "310-823-5311",
            "fax_number": "310-577-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASTER CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "ARJOMAND",
        "authorized_official_first_name": "MAHIYAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-823-5311"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marina Del Rey Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.