NPIMap

Organization Active NPI

Basso Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Agoura Hills, CA
National Provider Identifier
1700482239
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BASSO PHARMACY, INC.
Practice address
28880 Michelle Dr
Agoura Hills, CA 91301-2131
Phone
(818) 634-4198
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Dr. Alireza Alibanaei, PHARM. D.NPI 1134694458
Title
President
Phone
(805) 242-4575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

28880 Michelle Dr
Agoura Hills, CA 91301-2131

Mailing address

PO Box 2248
Agoura Hills, CA 91376-2248
Phone (818) 634-4198

National Provider Directory

National Provider Directory
Tax ID family
Basso Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1700482239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2248",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913762248",
            "telephone_number": "818-634-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28880 MICHELLE DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012131",
            "telephone_number": "818-634-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSO PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "ALIBANAEI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-242-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

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

Verify at the official NPI Registry.