Active NPI
Forozan Emamjomeh, RPH
- Pharmacist
- Shreveport, LA
National Provider Identifier
1790084754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16726
- Practice address
- 761 Pierremont Rd
Shreveport, LA 71106-2211 - Phone
- (318) 861-3311
- Fax
- (318) 866-2642
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16726 | LA | Primary |
| Pharmacist | 183500000X | 03120484 | OH |
Addresses
Primary practice location
761 Pierremont Rd
Shreveport, LA 71106-2211
Mailing address
761 Pierremont Rd
Shreveport, LA 71106-2211
Phone (318) 861-3311
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16726 | LA | MD | Pharmacist |
| 03120484 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1790084754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 PIERREMONT RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062211",
"telephone_number": "318-861-3311",
"fax_number": "318-866-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 PIERREMONT RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062211",
"telephone_number": "318-861-3311",
"fax_number": "318-866-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMAMJOMEH",
"first_name": "FOROZAN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16726",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03120484",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.