Active NPI
Sherman Care Enterprise,Inc
- Community/Retail Pharmacy
- Van Nuys, CA
National Provider Identifier
1780280420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SHERMAN CARE ENTERPRISE,INC
- Doing business as
- MESA CARE PHARMACY
- Practice address
- 7218 Van Nuys Blvd Ste B
Van Nuys, CA 91405-6803 - Phone
- (818) 618-1200
- Fax
- (818) 785-5907
- NPI assigned
- Dec 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Babak Kohanteb
- Title
- President/Ceo
- Phone
- (818) 785-6049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
7218 Van Nuys Blvd Ste B
Van Nuys, CA 91405-6803
Mailing address
7218 Van Nuys Blvd Ste B
Van Nuys, CA 91405-6803
Phone (818) 618-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY57998 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY |
Other names 1
- MESA CARE PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Mesa Care Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Van Nuys, CA
- NPI 1063501054
Locations
7218 Van Nuys Blvd
Ste B
Van Nuys, CA 91405
Phone (818) 618-1200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Encino, CA
- NPI 1346884251
-
- Pharmacist
- Van Nuys, CA
- NPI 1174931455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607385600000",
"number": "1780280420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7218 VAN NUYS BLVD STE B",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914056803",
"telephone_number": "818-618-1200",
"fax_number": "818-785-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7218 VAN NUYS BLVD STE B",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914056803",
"telephone_number": "818-618-1200",
"fax_number": "818-785-5907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERMAN CARE ENTERPRISE,INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A",
"authorized_official_last_name": "KOHANTEB",
"authorized_official_first_name": "BABAK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-785-6049",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
"identifier": "PHY57998",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MESA CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.