Active NPI
Kureisha Banu Mohamed, PHARM.D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1376704437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60276
- Practice address
- 3961 Via Marisol Apt 220
Los Angeles, CA 90042-5081 - Phone
- (310) 963-4124
- NPI assigned
- Jun 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 60276 | CA | Primary |
Addresses
Primary practice location
3961 Via Marisol Apt 220
Los Angeles, CA 90042-5081
Mailing address
3961 Via Marisol Apt 220
Los Angeles, CA 90042-5081
Phone (310) 963-4124
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": "1214006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214006400000",
"number": "1376704437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3961 VIA MARISOL APT 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900425081",
"telephone_number": "310-963-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 VIA MARISOL APT 220",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900425081",
"telephone_number": "310-963-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "KUREISHA",
"middle_name": "BANU",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-21",
"last_updated": "2008-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Mehdi Mohamadnejad
- Mohamed Hammam, BDS, Inc
- Sheik Abdullah Mohamed Ismail, CNA
- Sabrina Mohamed Rafi, M.A.
- Hezla Mohamed, M.D.
- Mahmoud Galal Moawad Mohamed, MD
- Olla Mohamed, MD
- Mohammad Ali Zareh DDS Inc
- Mohammad Ashori MD Inc
- Mohammad Hussain Psychiatric Mental Health Nurse Practitioner Nursing Services Corporation (MHPsychNP)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.