Individual provider Active NPI

Zohreh Hantoosh, RPH

  • Pharmacist
  • Wilmington, CA
National Provider Identifier
1700423795
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51988 Issued in CA
Practice address
1203 N Avalon Blvd Ste a
Wilmington, CA 90744-2646
Phone
(310) 549-1000
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 51988 CA Primary

Addresses

Primary practice location

1203 N Avalon Blvd Ste a
Wilmington, CA 90744-2646

Mailing address

1203 N Avalon Blvd Ste a
Wilmington, CA 90744-2646
Phone (310) 549-1000

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
51988CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1700423795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N AVALON BLVD STE A",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442646",
            "telephone_number": "310-549-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N AVALON BLVD STE A",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442646",
            "telephone_number": "310-549-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANTOOSH",
        "first_name": "ZOHREH",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.