Reliable Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

RELIABLE PHARMACY

Practice address

18350 Roscoe Blvd Ste 102
Northridge, CA 91325-4146

Phone

(818) 885-7722

Fax

(818) 349-6576

NPI assigned

Aug 12, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Farhad Fred Naziri, PHARM. D.NPI 1386145324

Title

Vice President Managing Pharmacist

Phone

(818) 885-7722

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• reliable pharmacy Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farhad Fred Naziri, RPH

  • Pharmacist
  • Northridge, CA
  • NPI 1386145324
  NPD Authorized official
• Sasipan Jetawatana

  • Pharmacist
  • Northridge, CA
  • NPI 1053763144
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639171317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 102",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254146",
            "telephone_number": "818-885-7722",
            "fax_number": "818-349-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 102",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254146",
            "telephone_number": "818-885-7722",
            "fax_number": "818-349-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAZIRI",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "VICE PRESIDENT MANAGING PHARMACIST",
        "authorized_official_telephone_number": "818-885-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY20952",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "reliable pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Renee Dua MD, a Professional Medical Corporation

• Pharmacy in Northridge, CA
• Providers in Northridge, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.