Active NPI
Neeloufar Fakourfar, PHARM.D.
- Pharmacist
- Irvine, CA
National Provider Identifier
1376095570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74848
- Practice address
- 9401 Jeronimo Rd
Irvine, CA 92618-1908 - Phone
- (714) 516-5540
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 74848 | CA | Primary |
Addresses
Primary practice location
9401 Jeronimo Rd
Irvine, CA 92618-1908
Mailing address
9401 Jeronimo Rd # 275
Irvine, CA 92618-1908
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1376095570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 JERONIMO RD # 275",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 JERONIMO RD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181908",
"telephone_number": "714-516-5540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKOURFAR",
"first_name": "NEELOUFAR",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.