Sophary Om, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

82124 Issued in CA

Practice address

19353 Victory Blvd
Reseda, CA 91335

Phone

(818) 996-4742

NPI assigned

Dec 28, 2020

Last updated

Dec 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sophary Yam Om Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1841887619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 KELLNER AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917704040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19353 VICTORY BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "91335",
            "telephone_number": "818-996-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OM",
        "first_name": "SOPHARY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHARY",
            "last_name": "OM",
            "middle_name": "YAM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Offerta Home Health Agency Inc
• May Ogbozor
• Andrew B Ojeda
• Desiree Que Olan, DNP
• Olympus Adhc, Inc.
• One Heart Behavioral Health
• One Smile Home Health Inc
• Chinyere Ugo Onyioha, LVN/HEALTHCARE ADMIN
• Heather Lynn Oppelt, RN
• Optical Reflections

• Pharmacist in Reseda, CA
• Providers in Reseda, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.