Individual provider Active NPI

Mohsen Micahel Raghian, RPH

  • Pharmacist
  • Yreka, CA
National Provider Identifier
1801605894
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49348 Issued in CA
Practice address
1906 Fort Jones Rd
Yreka, CA 96097-9530
Phone
(626) 622-3101
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49348 CA Primary

Addresses

Primary practice location

1906 Fort Jones Rd
Yreka, CA 96097-9530

Mailing address

1906 Fort Jones Rd
Yreka, CA 96097-9530
Phone (626) 622-3101

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

LicenseStateTypeSpecialty
49348CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walmart Inc. PastSince Jan 5, 2025 Accepting new patients
Walmart Inc. PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1801605894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 FORT JONES RD",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979530",
            "telephone_number": "626-622-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 FORT JONES RD",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979530",
            "telephone_number": "626-622-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHIAN",
        "first_name": "MOHSEN",
        "middle_name": "MICAHEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "49348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.