Active NPI
Andre Baghoomian
- Pharmacist
- Rancho Cordova, CA
National Provider Identifier
1396294492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75028
- Practice address
- 3301 Zinfandel Dr
Rancho Cordova, CA 95670-6385 - Phone
- (916) 852-8332
- NPI assigned
- Sep 29, 2016
- Sex
- Male
- 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 | 75028 | CA | Primary |
Addresses
Primary practice location
3301 Zinfandel Dr
Rancho Cordova, CA 95670-6385
Mailing address
3301 Zinfandel Dr
Rancho Cordova, CA 95670-6385
Phone (916) 852-8332
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1396294492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 ZINFANDEL DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706385",
"telephone_number": "916-852-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 ZINFANDEL DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956706385",
"telephone_number": "916-852-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHOOMIAN",
"first_name": "ANDRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.