Bahareh Rebecca Davidson, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

77822 Issued in CA

Practice address

3426 Whittier Blvd
Los Angeles, CA 90023-1708

Phone

(323) 263-8617

NPI assigned

Jun 6, 2019

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

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 and National Provider Directory roles.

• DRS E&E Investment LLC

  dba My Pharmacist On Call

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1417344797
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1447819248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 BELLAIRE AVE",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073418",
            "telephone_number": "818-665-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231708",
            "telephone_number": "323-263-8617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4941 Bellaire Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Village",
            "state": "CA",
            "postal_code": "916073418",
            "country_code": "US",
            "telephone_number": "818-665-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "BAHAREH",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "77822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Davidovsky Lucas, D.C.
• Grigory Davidovsky
• Davids Pharmacy
• Davidson Marriage and Family Therapy Group Inc
• Davidson Marriage and Family Therapy Professional Corporation
• Cheyanne Trichelle Davidson
• Jered Robert Davidson
• Jill Davidson
• Karlton C Davidson
• Kathleen M Davidson, OTR/L

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.