Active NPI
Tina Zomorodian, PHARMD
- Pharmacist
- Newport Beach, CA
National Provider Identifier
1427683556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH82243
- Practice address
- 3445 Via Lido
Newport Beach, CA 92663-3908 - Phone
- (949) 723-8921
- NPI assigned
- Mar 9, 2020
- Last updated
- Jul 18, 2022
- 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 | RPH82243 | CA | Primary |
Addresses
Primary practice location
3445 Via Lido
Newport Beach, CA 92663-3908
Mailing address
3445 Via Lido
Newport Beach, CA 92663-3908
Phone (949) 723-8921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH82243 | Other | CA | CALIFORNIA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| RPH82243 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Lido Drug Corporation | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Locations
3445 Via Lido
Newport Beach, CA 92663
Phone (949) 382-7732
Organizations & group practices 5
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.
-
dba Via Lido Drugs
- Community/Retail Pharmacy
- Newport Beach, CA
- NPI 1932114535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1427683556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 VIA LIDO",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633908",
"telephone_number": "949-723-8921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 VIA LIDO",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633908",
"telephone_number": "949-723-8921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOMORODIAN",
"first_name": "TINA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH82243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY",
"identifier": "RPH82243",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.