Active NPI
Medhat Fahim
- Pharmacist
- Ladera Ranch, CA
National Provider Identifier
1629450358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56195
- Practice address
- 27702 Crown Vally # B
Ladera Ranch, CA 92694 - Phone
- (949) 364-2098
- Fax
- (948) 364-2198
- NPI assigned
- Jun 18, 2015
- Last updated
- Jun 18, 2015
- Sex
- Male
- 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 | 56195 | CA | Primary |
Addresses
Primary practice location
27702 Crown Vally # B
Ladera Ranch, CA 92694
Mailing address
27702 Crown Valley Pkwy Ste B
Ladera Ranch, CA 92694-0609
Phone (949) 364-2098
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56195 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cure Med Pharmacy LLC | Current | Accepting new patients |
Locations
28940 Golden Lantern
Ste D
Laguna Niguel, CA 92677
Phone (714) 675-0388
Organizations & group practices 1
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.
-
dba Cure Med Pharmacy
- Community/Retail Pharmacy
- Laguna Niguel, CA
- NPI 1013628247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1629450358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27702 CROWN VALLEY PKWY STE B",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926940609",
"telephone_number": "949-364-2098",
"fax_number": "949-364-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27702 CROWN VALLY # B",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "92694",
"telephone_number": "949-364-2098",
"fax_number": "948-364-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHIM",
"first_name": "MEDHAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "56195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ladera Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.