Individual provider Active NPI

Homayoun Namjo, PHARM.D.

  • Pharmacist
  • Santa Monica, CA
National Provider Identifier
1427531672
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47520 Issued in CA
Practice address
2530B San Vicente Blvd
Santa Monica, CA 90402-2321
Phone
(310) 393-0201
Fax
(310) 394-2712
NPI assigned
Sep 13, 2018
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 47520 CA Primary

Addresses

Primary practice location

2530B San Vicente Blvd
Santa Monica, CA 90402-2321

Mailing address

2530B San Vicente Blvd
Santa Monica, CA 90402-2321
Phone (310) 393-0201

Other identifiers 2

IdentifierTypeStateIssuer
1831254747MedicaidCA
PHY55634OtherCABOARD OF PHARMACY

Other names 1

  • Dr. Homer Namjo Professional name

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

LicenseStateTypeSpecialty
47520CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Medical Imaging and Open MRI Current Accepting new patients
Pharmacorp, Inc CurrentSince Mar 21, 2021 Accepting new patients

Locations

2530B San Vicente Blvd
Santa Monica, CA 90402
Phone (310) 393-0201

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, 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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1427531672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530B SAN VICENTE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022321",
            "telephone_number": "310-393-0201",
            "fax_number": "310-394-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530B SAN VICENTE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022321",
            "telephone_number": "310-393-0201",
            "fax_number": "310-394-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMJO",
        "first_name": "HOMAYOUN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831254747",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY55634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOMER",
            "last_name": "NAMJO",
            "prefix": "DR.",
            "credential": "PHARM.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.