Individual provider Active NPI

Arbi Moradkhan, PHARMD

  • Pharmacist
  • Montrose, CA
National Provider Identifier
1861008906
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83430 Issued in CA
Practice address
2254 Mira Vista Ave Apt 4
Montrose, CA 91020-1537
Phone
(661) 940-4752
NPI assigned
Sep 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83430 CA Primary

Addresses

Primary practice location

2254 Mira Vista Ave Apt 4
Montrose, CA 91020-1537

Mailing address

2254 Mira Vista Ave Apt 4
Montrose, CA 91020-1537
Phone (818) 279-1865

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
83430CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1861008906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 MIRA VISTA AVE APT 4",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201537",
            "telephone_number": "818-279-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 MIRA VISTA AVE APT 4",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201537",
            "telephone_number": "661-940-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADKHAN",
        "first_name": "ARBI",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.