Active NPI
Farhad Yassini, PHARMD
- Pharmacist
- North Hollywood, CA
National Provider Identifier
1497805634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH41104
- Practice address
- 12922 A Victory Blvd
North Hollywood, CA 91606 - Phone
- (818) 752-9888
- Fax
- (818) 752-0492
- NPI assigned
- Jan 11, 2007
- Last updated
- Jul 8, 2007
- 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 | RPH41104 | CA | Primary |
Addresses
Primary practice location
12922 A Victory Blvd
North Hollywood, CA 91606
Mailing address
110 South Bowling Green Way
Los Angeles, CA 90049
Phone (310) 471-4959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH 41104 | Other | CA | PHARMACIST LIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH41104 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victory Discount Pharmacy Inc | Past | 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.
-
dba Victory Discount Pharmacy
- Community/Retail Pharmacy
- N Hollywood, CA
- NPI 1235126038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497805634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SOUTH BOWLING GREEN WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90049",
"telephone_number": "310-471-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12922 A VICTORY BLVD",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "91606",
"telephone_number": "818-752-9888",
"fax_number": "818-752-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSINI",
"first_name": "FARHAD",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH41104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LIC",
"identifier": "RPH 41104",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.