Organization Active NPI

Sherman Care Enterprise,Inc

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1780280420
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Dec 8, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY57998OtherCACALIFORNIA STATE BOARD OF PHARMACY

Other names 1

  • MESA CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mesa Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.