Active NPI
Azadeh Khoshakhlagh, PHARM D
- Pharmacist
- Schenectady, NY
National Provider Identifier
1700172533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67420
- Practice address
- 1320 Altamont Ave
Schenectady, NY 12303 - Phone
- (518) 355-2792
- NPI assigned
- Jun 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053398 | NY | |
| Pharmacist | 183500000X | 67420 | CA | Primary |
Addresses
Primary practice location
1320 Altamont Ave
Schenectady, NY 12303
Mailing address
17150 Gale Ave
City of Industry, CA 91745-1818
Phone (626) 854-1006
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67420 | CA | MD | Pharmacist |
| 053398 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1700172533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17150 GALE AVE",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917451818",
"telephone_number": "626-854-1006",
"fax_number": "518-207-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 ALTAMONT AVE",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "12303",
"telephone_number": "518-355-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSHAKHLAGH",
"first_name": "AZADEH",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053398",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.