Individual provider Active NPI

Bishoy Tannious, PHARMD

  • Pharmacist
  • Lancaster, CA
National Provider Identifier
1801260237
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71747 Issued in CA
Practice address
44503 16TH St W Ste 101
Lancaster, CA 93534-2886
Phone
(661) 945-8066
NPI assigned
Nov 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71747 CA Primary

Addresses

Primary practice location

44503 16TH St W Ste 101
Lancaster, CA 93534-2886

Mailing address

7742 Darby Ave
Reseda, CA 91335-2094

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

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1801260237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 DARBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44503 16TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342886",
            "telephone_number": "661-945-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNIOUS",
        "first_name": "BISHOY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.