Active NPI
Edward Leo Callahan, PHARM.D
- Pharmacist
- Carson, CA
National Provider Identifier
1497974042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 26227
- Practice address
- 123 W. Walnut St.
Carson, CA 90248-3103 - Phone
- (310) 515-8425
- Fax
- (310) 515-8426
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| RPH 26227 | CA | MD | Pharmacist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 26227 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
123 W. Walnut St.
Carson, CA 90248-3103
Mailing address
337 Waterview St
Playa del Rey, CA 90293-8050
Phone (310) 821-5998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2010.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1497974042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 WATERVIEW ST",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902938050",
"telephone_number": "310-821-5998",
"fax_number": "310-306-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W. WALNUT ST.",
"city": "CARSON",
"state": "CA",
"postal_code": "902483103",
"telephone_number": "310-515-8425",
"fax_number": "310-515-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "EDWARD",
"middle_name": "LEO",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 26227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.