Individual provider Active NPI

Shahrzad Khoobyari

  • Pharmacist
  • Redding, CA
National Provider Identifier
1366987828
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62179 Issued in CA
Practice address
2520 Webb CT
Redding, CA 96002-1541
Phone
(949) 278-8899
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62179 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2520 Webb CT
Redding, CA 96002-1541

Mailing address

2520 Webb CT
Redding, CA 96002-1541
Phone (949) 278-8899

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2016.

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1366987828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WEBB CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021541",
            "telephone_number": "949-278-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WEBB CT",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021541",
            "telephone_number": "949-278-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOOBYARI",
        "first_name": "SHAHRZAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.