Active NPI
Marjan Moaddeli, PHARMD
- Pharmacist
- La Canada, CA
National Provider Identifier
1831528546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66464
- Practice address
- 2143 Foothill Blvd
La Canada, CA 91011-1904 - Phone
- (818) 248-3643
- Fax
- (818) 248-0678
- NPI assigned
- Nov 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66464 | CA | Primary |
Addresses
Primary practice location
2143 Foothill Blvd
La Canada, CA 91011-1904
Mailing address
15215 Dickens St Apt 307
Sherman Oaks, CA 91403-3370
Phone (818) 645-8680
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alm RX Inc | Past | Accepting new patients | |
| Alm RX Inc | Past | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- La Canada Flintridge, CA
- NPI 1285743203
-
- Long Term Care Pharmacy
- La Canada Flintridge, CA
- NPI 1306703707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383436800000",
"number": "1831528546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15215 DICKENS ST APT 307",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033370",
"telephone_number": "818-645-8680",
"fax_number": "818-248-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2143 FOOTHILL BLVD",
"city": "LA CANADA",
"state": "CA",
"postal_code": "910111904",
"telephone_number": "818-248-3643",
"fax_number": "818-248-0678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOADDELI",
"first_name": "MARJAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-03",
"last_updated": "2013-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Canada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.