Active NPI
Bernard R Elhaj, PHARMD
- Pharmacist
- Pasadena, CA
National Provider Identifier
1861815417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51013
- Practice address
- 160 N Lake Ave
Pasadena, CA 91101-1836 - Phone
- (626) 793-0531
- Fax
- (626) 793-1525
- NPI assigned
- Jan 31, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 51013 | CA | Primary |
Addresses
Primary practice location
160 N Lake Ave
Pasadena, CA 91101-1836
Mailing address
160 N Lake Ave
Pasadena, CA 91101-1836
Phone (626) 793-0531
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51013 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients |
Organizations & group practices 1
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": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1861815417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 N LAKE AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011836",
"telephone_number": "626-793-0531",
"fax_number": "626-793-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N LAKE AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011836",
"telephone_number": "626-793-0531",
"fax_number": "626-793-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELHAJ",
"first_name": "BERNARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-31",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.