Individual provider Active NPI

Elizabeth Sheila Kohan Shirazi, PHARM.D.

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1831400639
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58675 Issued in CA
Practice address
650 Gateway Center Dr
San Diego, CA 92102-4530
Phone
(619) 358-2302
Fax
(619) 358-2310
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58675 CA Primary

Addresses

Primary practice location

650 Gateway Center Dr
San Diego, CA 92102-4530

Mailing address

650 Gateway Center Dr
San Diego, CA 92102-4530
Phone (619) 358-2302

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1831400639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 GATEWAY CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024530",
            "telephone_number": "619-358-2302",
            "fax_number": "619-358-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GATEWAY CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024530",
            "telephone_number": "619-358-2302",
            "fax_number": "619-358-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHAN SHIRAZI",
        "first_name": "ELIZABETH",
        "middle_name": "SHEILA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.