Active NPI
Raheleh Eskandar Pour Khorami, PHARM.D.
- Pharmacist
- San Diego, CA
National Provider Identifier
1407157894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64576
- Practice address
- 4650 Palm Ave
San Diego, CA 92154-8404 - Phone
- (619) 662-5301
- NPI assigned
- Nov 16, 2010
- Last updated
- Apr 20, 2011
- 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 | 64576 | CA | Primary |
Addresses
Primary practice location
4650 Palm Ave
San Diego, CA 92154-8404
Mailing address
4650 Palm Ave
San Diego, CA 92154-8404
Phone (619) 662-5301
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64576 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1407157894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 PALM AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921548404",
"telephone_number": "619-662-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 PALM AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921548404",
"telephone_number": "619-662-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESKANDAR POUR KHORAMI",
"first_name": "RAHELEH",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.