Active NPI
Shrina Kadivar
- Pharmacist
- Chino, CA
National Provider Identifier
1629675509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83391
- Practice address
- 13085 Central Ave Ste 2
Chino, CA 91710-4184 - Phone
- (909) 927-8323
- NPI assigned
- Oct 5, 2020
- Last updated
- Oct 5, 2020
- Sex
- Female
- 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 | 83391 | CA | Primary |
Addresses
Primary practice location
13085 Central Ave Ste 2
Chino, CA 91710-4184
Mailing address
11943 Kiowa Ave Apt 1
Los Angeles, CA 90049-5913
Phone (310) 940-0455
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 |
|---|---|---|---|
| 83391 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altek Drugs 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, 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": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1629675509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11943 KIOWA AVE APT 1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495913",
"telephone_number": "310-940-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13085 CENTRAL AVE STE 2",
"city": "CHINO",
"state": "CA",
"postal_code": "917104184",
"telephone_number": "909-927-8323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADIVAR",
"first_name": "SHRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.