Shirin Ghafouri, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH44979 Issued in CA

Practice address

1631 Montana Ave
Santa Monica, CA 90403

Phone

(310) 393-0761

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• 1631 Montana Ave Pharmacy, LLC

  dba Regent Square Pharmacy

  • Community/Retail Pharmacy
  • Santa Monica, CA
  • NPI 1881600476
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396881298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 MONTANA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 MONTANA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-393-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFOURI",
        "first_name": "SHIRIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH44979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENCE",
            "identifier": "RPH44979",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul S Gerstenfeld, MS, OTR/L, CHT
• Angelique Gettle, L.M.F.T.
• Brandon Gettleman
• Todd Michael Gewant, D.C.
• Lida Ghaderi, M.D.
• Joshua Jonah Ghaly
• Javid Ghandehari, M.D.
• Marjan Ghanem, PHARMD
• Stephen Ghazikhanian
• Jessica Ghermezi

• Pharmacist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.