Active NPI
Nathan Koreie
- Pharmacist
- West Hollywood, CA
National Provider Identifier
1457073306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86177
- Practice address
- 8578 Santa Monica Blvd
West Hollywood, CA 90069-4119 - Phone
- (310) 289-1125
- Fax
- (310) 289-0744
- NPI assigned
- Sep 16, 2022
- Sex
- Male
- 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 | 86177 | CA | Primary |
Addresses
Primary practice location
8578 Santa Monica Blvd
West Hollywood, CA 90069-4119
Mailing address
PO Box 571360
Tarzana, CA 91357-1360
Phone (818) 903-8646
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 |
|---|---|---|---|
| 86177 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1457073306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 571360",
"city": "TARZANA",
"state": "CA",
"postal_code": "913571360",
"telephone_number": "818-903-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8578 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694119",
"telephone_number": "310-289-1125",
"fax_number": "310-289-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOREIE",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-16",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.