Individual provider Active NPI

Greta Goldshtein, PHARMD, APH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Calabasas, CA
National Provider Identifier
1588769764
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
49705 Issued in CA
Practice address
23693B Calabasas Rd
Calabasas, CA 91302-1502
Phone
(818) 403-3072
Fax
(818) 356-8804
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49705 CA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 49705 CA Primary

Addresses

Primary practice location

23693B Calabasas Rd
Calabasas, CA 91302-1502

Mailing address

9821 W Pico Blvd
Los Angeles, CA 90035-4712
Phone (310) 277-6266

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
49705CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Courtyard Clinic Inc. Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist CurrentSince Dec 22, 2019 Accepting new patients
KM Network Inc CurrentSince Jun 4, 2023 Accepting new patients

Locations

23693 Calabasas Rd
Ste B
Calabasas, CA 91302
Phone (818) 403-3072

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1588769764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354712",
            "telephone_number": "310-277-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23693B CALABASAS RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021502",
            "telephone_number": "818-403-3072",
            "fax_number": "818-356-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSHTEIN",
        "first_name": "GRETA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, APH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "49705",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "49705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.