Individual provider Active NPI

Farnoush Pedrami

  • Pharmacist
  • Auburn, CA
National Provider Identifier
1457700346
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74490 Issued in CA
Practice address
10045 Combie Rd
Auburn, CA 95602-8901
Phone
(530) 268-3753
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 74490 CA Primary

Addresses

Primary practice location

10045 Combie Rd
Auburn, CA 95602-8901

Mailing address

10045 Combie Rd
Auburn, CA 95602-8901
Phone (530) 268-3753

Other practice location 1

2035 Novato Blvd
Novato, CA 94947-2191
Phone (415) 897-9917

Other practice location 2

2035 Novato Blvd
Novato, CA 94947-2191
Phone (415) 897-9917

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

LicenseStateTypeSpecialty
74490CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Longs Drug Store California LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients
Longs Drug Stores California LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457700346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10045 COMBIE RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028901",
            "telephone_number": "530-268-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 COMBIE RD",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028901",
            "telephone_number": "530-268-3753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2035 Novato Blvd",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949472191",
            "country_code": "US",
            "telephone_number": "415-897-9917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 Novato Blvd",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949472191",
            "country_code": "US",
            "telephone_number": "415-897-9917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDRAMI",
        "first_name": "FARNOUSH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "74490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.