Active NPI
Hossain Mo Farnoush, PHARMACIST
- Pharmacist
- Hawthorne, CA
National Provider Identifier
1629587571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42558
- Practice address
- 4477 W 118TH St Ste 100
Hawthorne, CA 90250-2256 - Phone
- (310) 675-6882
- Fax
- (310) 675-6893
- NPI assigned
- Sep 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 42558 | CA | Primary |
Addresses
Primary practice location
4477 W 118TH St Ste 100
Hawthorne, CA 90250-2256
Mailing address
3436 Veteran Ave
Los Angeles, CA 90034-5306
Phone (562) 282-2423
Other names 1
- Mr. Hossain Mohammad Farnoush
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42558 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid Care Pharmacy Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Tujunga, CA
- NPI 1255415378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1629587571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3436 VETERAN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900345306",
"telephone_number": "562-282-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 W 118TH ST STE 100",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502256",
"telephone_number": "310-675-6882",
"fax_number": "310-675-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNOUSH",
"first_name": "HOSSAIN",
"middle_name": "MO",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-22",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOSSAIN",
"last_name": "FARNOUSH",
"middle_name": "MOHAMMAD",
"prefix": "MR.",
"credential": "DOCTOR OF PHARMACY",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.