Individual provider Active NPI

Farhad Fred Naziri, RPH

  • Pharmacist
  • Northridge, CA
National Provider Identifier
1386145324
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43581 Issued in CA
Practice address
18350 Roscoe Blvd
102
Northridge, CA 91325-4146
Phone
(818) 885-7722
Fax
(818) 349-6576
NPI assigned
Feb 26, 2018
Last updated
Feb 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43581 CA Primary

Addresses

Primary practice location

18350 Roscoe Blvd
102
Northridge, CA 91325-4146

Mailing address

18350 Roscoe Blvd
Unit 102
Northridge, CA 91325-4146
Phone (818) 885-7722

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
43581CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Pharmacy Current Accepting new patients

Locations

18350 Roscoe Blvd
Ste 102
Northridge, CA 91325
Phone (818) 885-7722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1386145324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "UNIT 102",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254146",
            "telephone_number": "818-885-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "102",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254146",
            "telephone_number": "818-885-7722",
            "fax_number": "818-349-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZIRI",
        "first_name": "FARHAD",
        "middle_name": "FRED",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.