Individual provider Active NPI

Venus Lajevardi, PHARMD

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1740722347
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
75715 Issued in CA
Practice address
940 E 2ND St
Unit 8
Los Angeles, CA 90012-4335
Phone
(949) 331-3235
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 75715 CA Primary

Addresses

Primary practice location

940 E 2ND St
Unit 8
Los Angeles, CA 90012-4335

Mailing address

940 E 2ND St
Unit 8
Los Angeles, CA 90012-4335
Phone (949) 331-3235

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

LicenseStateTypeSpecialty
75715CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1740722347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 2ND ST",
            "address_2": "UNIT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124335",
            "telephone_number": "949-331-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 2ND ST",
            "address_2": "UNIT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900124335",
            "telephone_number": "949-331-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJEVARDI",
        "first_name": "VENUS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.