NPIMap

Organization Active NPI

Avalon Pharmacy

  • Pharmacist
  • Wilmington, CA
National Provider Identifier
1598033169
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52139 Issued in CA
Legal business name
AVALON PHARMACY
Practice address
1203 N Avalon Blvd Ste a
Wilmington, CA 90744-2646
Phone
(310) 549-5353
Fax
(310) 549-9777
NPI assigned
Dec 9, 2011
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Zahra Moridzadeh, PHARMD
Title
Chief Pharmacist
Phone
(310) 549-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 52139 CA Primary

Addresses

Primary practice location

1203 N Avalon Blvd Ste a
Wilmington, CA 90744-2646

Mailing address

1203 N Avalon Blvd Ste a
Wilmington, CA 90744-2646
Phone (310) 549-5353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1598033169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N AVALON BLVD STE A",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442646",
            "telephone_number": "310-549-5353",
            "fax_number": "310-549-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N AVALON BLVD STE A",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442646",
            "telephone_number": "310-549-5353",
            "fax_number": "310-549-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "MORIDZADEH",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "310-549-5353",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "52139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.