Hamideh Ahmady, PHARM.D. BCOP.APH

Primary specialty

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

License

APH10329 Issued in CA

Practice address

Mission Hope Cancer Center (MRMC)
1325 E. Church Street, # 303
Santa Maria, CA 93454

Phone

(805) 474-5306

Fax

(805) 474-3430

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Hamideh Tavakoli-Ahmady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1497852578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1501",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934481501",
            "telephone_number": "951-233-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MISSION HOPE CANCER CENTER (MRMC)",
            "address_2": "1325 E. CHURCH STREET, # 303",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-474-5306",
            "fax_number": "805-474-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMADY",
        "first_name": "HAMIDEH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D. BCOP.APH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "52114",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26021015A",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "52114",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "CA",
            "license": "52114",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "APH10329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "A8174579",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMIDEH",
            "last_name": "TAVAKOLI-AHMADY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Ochoa Aguirre
• Richelle Rose Aguirre, LPT
• Shannon Li Starzecki Aguirre, MA, LMFT
• Charlotte N. Ahlstrom
• Kamelia Ahmadi, DDS
• Chishin Ahn
• Elina Ahranjani
• Nece Ahumada-Hernandez
• Peter Aiad
• Schylar Mackenzie Aiello

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Santa Maria, CA
• Providers in Santa Maria, 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 Apr 28, 2023; 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.