NPIMap

Individual provider Active NPI

Hamid Reza Amiri, PHARMACIST

  • Pharmacist
  • Bay Point, CA
National Provider Identifier
1639324635
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39354 Issued in CA
Practice address
580 Bailey Rd
Bay Point, CA 94565-4304
Phone
(925) 458-0955
Fax
(925) 458-5348
NPI assigned
Nov 18, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39354 CA Primary
Pharmacist 183500000X 25480 TX

Addresses

Primary practice location

580 Bailey Rd
Bay Point, CA 94565-4304

Mailing address

580 Bailey Rd
Bay Point, CA 94565-4304
Phone (925) 458-0955

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

LicenseStateTypeSpecialty
39354CAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 2

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1639324635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BAILEY RD",
            "city": "BAY POINT",
            "state": "CA",
            "postal_code": "945654304",
            "telephone_number": "925-458-0955",
            "fax_number": "925-458-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BAILEY RD",
            "city": "BAY POINT",
            "state": "CA",
            "postal_code": "945654304",
            "telephone_number": "925-458-0955",
            "fax_number": "925-458-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRI",
        "first_name": "HAMID",
        "middle_name": "REZA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "39354",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "25480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.