Individual provider Active NPI

Marjan Abbassi, PHARM.D

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1366691008
Registry record updated Jul 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
54261 Issued in CA
Practice address
3411 Chestnut St Apt 438
Philadelphia, PA 19104-5518
Phone
(949) 923-8910
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 54261 CA Primary

Addresses

Primary practice location

3411 Chestnut St Apt 438
Philadelphia, PA 19104-5518

Mailing address

3411 Chestnut St Apt 438
Philadelphia, PA 19104-5518
Phone (949) 923-8910

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
54261CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405209600000",
    "number": "1366691008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 CHESTNUT ST APT 438",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045518",
            "telephone_number": "949-923-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 CHESTNUT ST APT 438",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045518",
            "telephone_number": "949-923-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASSI",
        "first_name": "MARJAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2014-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "54261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; 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.