Active NPI
Fatemeh Tahanejad
- Pharmacist
- Albany, CA
National Provider Identifier
1447603014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74614
- Practice address
- 1155 Brighton Ave
Apartment Number 2
Albany, CA 94706-1260 - Phone
- (510) 478-5752
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 74614 | CA | Primary |
Addresses
Primary practice location
1155 Brighton Ave
Apartment Number 2
Albany, CA 94706-1260
Mailing address
1155 Brighton Avenue
Apartment Number 2
Albany, CA 94706
Phone (510) 478-5752
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74614 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1447603014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 BRIGHTON AVENUE",
"address_2": "APARTMENT NUMBER 2",
"city": "ALBANY",
"state": "CA",
"postal_code": "94706",
"telephone_number": "510-478-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 BRIGHTON AVE",
"address_2": "APARTMENT NUMBER 2",
"city": "ALBANY",
"state": "CA",
"postal_code": "947061260",
"telephone_number": "510-478-5752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHANEJAD",
"first_name": "FATEMEH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-19",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.