Individual provider Active NPI

Kevork Shahe Shahinian, PHARM.D.

  • Pharmacist
  • Chatsworth, CA
National Provider Identifier
1851673818
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62778 Issued in CA
Practice address
9528 Topanga Canyon Blvd
Chatsworth, CA 91311-4011
Phone
(818) 960-4664
Fax
(818) 960-4660
NPI assigned
Sep 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62778 CA Primary

Addresses

Primary practice location

9528 Topanga Canyon Blvd
Chatsworth, CA 91311-4011

Mailing address

21935 Bella Vista PL
Chatsworth, CA 91311-2823
Phone (818) 634-7091

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

State licenses

LicenseStateTypeSpecialty
62778CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician RX PC Pharmacist Current Accepting new patients
Wound Care RX Current Accepting new patients
Pharmacist Holding Group Current Accepting new patients

Locations

9528 Topanga Canyon Blvd
Chatsworth, CA 91311
Phone (818) 634-7091

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1851673818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21935 BELLA VISTA PL",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112823",
            "telephone_number": "818-634-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9528 TOPANGA CANYON BLVD",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114011",
            "telephone_number": "818-960-4664",
            "fax_number": "818-960-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHINIAN",
        "first_name": "KEVORK",
        "middle_name": "SHAHE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.