Individual provider Active NPI

Vano Ghaderi Masihi, PHARMD

  • Pharmacist
  • Glendale, AZ
National Provider Identifier
1891573432
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S026638 Issued in AZ
Practice address
6601 W Bethany Home Rd Ste A10
Glendale, AZ 85301-4946
Phone
(623) 440-7717
NPI assigned
Sep 15, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S026638 AZ Primary

Addresses

Primary practice location

6601 W Bethany Home Rd Ste A10
Glendale, AZ 85301-4946

Mailing address

14238 N 26TH Dr
Phoenix, AZ 85023-5955
Phone (602) 432-2605

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
S026638AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Home Discount Pharmacy LLC CurrentSince Sep 17, 2023 Accepting new patients
Bethany Home Discount Pharmacy LLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

6601 W Bethany Home Rd
Ste A10
Glendale, AZ 85301
Phone (623) 440-7717

Organizations & group practices 2

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": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1891573432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14238 N 26TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235955",
            "telephone_number": "602-432-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 W BETHANY HOME RD STE A10",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014946",
            "telephone_number": "623-440-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADERI MASIHI",
        "first_name": "VANO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.