Active NPI
Koushyar Pouromid
- Pharmacist
- Tarzana, CA
National Provider Identifier
1861893901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70951
- Practice address
- 18735 Ventura Blvd
Tarzana, CA 91356-3302 - Phone
- (818) 743-0011
- Fax
- (818) 743-0022
- NPI assigned
- Sep 9, 2014
- Sex
- Male
- 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 | 70951 | CA | Primary |
Addresses
Primary practice location
18735 Ventura Blvd
Tarzana, CA 91356-3302
Mailing address
23620 Draco Way
West Hills, CA 91307-1352
Phone (818) 917-8851
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70951 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPG Pharmacy Co. | Current | Accepting new patients |
Locations
18735 Ventura Blvd
Tarzana, CA 91356
Phone (818) 743-0011
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.
-
- Community/Retail Pharmacy
- Tarzana, CA
- NPI 1780426999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1861893901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23620 DRACO WAY",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071352",
"telephone_number": "818-917-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18735 VENTURA BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563302",
"telephone_number": "818-743-0011",
"fax_number": "818-743-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUROMID",
"first_name": "KOUSHYAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.