Individual provider Active NPI

Shar Shahrzad Bahri Eshraghi, PHARM.D

  • Pharmacist
  • Irvine, CA
National Provider Identifier
1477713758
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 50831 Issued in CA
Practice address
5582 Southall Ter
Irvine, CA 92603-3515
Phone
(949) 737-2070
NPI assigned
Jun 11, 2008
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 50831 CA Primary

Addresses

Primary practice location

5582 Southall Ter
Irvine, CA 92603-3515

Mailing address

5582 Southall Terrace
Irvine, CA 92603
Phone (949) 737-2070

Other names 1

  • Shahrzad Bahri Former name

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

LicenseStateTypeSpecialty
RPH 50831CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medlife Pharmacy & Compounding,Inc. Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1477713758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5582 SOUTHALL TERRACE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92603",
            "telephone_number": "949-737-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5582 SOUTHALL TER",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033515",
            "telephone_number": "949-737-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHRI ESHRAGHI",
        "first_name": "SHAR",
        "middle_name": "SHAHRZAD",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 50831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAHRZAD",
            "last_name": "BAHRI",
            "credential": "PHARM.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.