Active NPI
Suzan Kahouati, PHARMD
- Pharmacist
- Pasadena, CA
National Provider Identifier
1528338258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65028
- Practice address
- 2376 E Colorado Blvd
Pasadena, CA 91107-4249 - Phone
- (626) 768-4040
- NPI assigned
- Jan 11, 2012
- Last updated
- Jan 11, 2012
- Sex
- Female
- 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 | 65028 | CA | Primary |
Addresses
Primary practice location
2376 E Colorado Blvd
Pasadena, CA 91107-4249
Mailing address
2376 E Colorado Blvd
Pasadena, CA 91107-4249
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 |
|---|---|---|---|
| 65028 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1528338258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074249",
"telephone_number": "626-768-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHOUATI",
"first_name": "SUZAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- Kachanon-Gregory Chiropractic Inc. (Focus Chirorpractic)
- Richard Silode Kachanon, DC
- Niyati Kadakia
- Gohar Kadimyan
- Jennifer Moani Kahau-Segovia, FNP
- Mumbi Ngunjiri Kairu, NP
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Hospitals (Kaiser Foundation Hospital Los Angeles HHA)
- Kaiser Foundation Hospitals (Kaiser Foundation Hospital Los Angeles - Home Health & Hospice)
- Kaiser Permanente Panorama City Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.