Organization Active NPI

Mazdeyasnan Pharmaceutical

Doing business as Leons Pharmacy

  • Community/Retail Pharmacy
  • Oxnard, CA
National Provider Identifier
1902950348
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46437 Issued in CA
Legal business name
MAZDEYASNAN PHARMACEUTICAL
Doing business as
Leons Pharmacy
Practice address
801 Cooper Rd
Oxnard, CA 93030-5445
Phone
(805) 483-8644
Fax
(805) 483-2731
NPI assigned
Jan 23, 2007
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Babak Mazdeyasnan, PHARMD
Title
Owner
Phone
(805) 483-8644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY46437 CA Primary

Addresses

Primary practice location

801 Cooper Rd
Oxnard, CA 93030-5445

Mailing address

801 Cooper Rd
Oxnard, CA 93030-5445
Phone (805) 483-8644

Other identifiers 2

IdentifierTypeStateIssuer
0540028OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA464370MedicaidCA

Other names 1

  • LEONS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

801 Cooper Rd
Oxnard, CA 93030
Phone (805) 330-8100

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1902950348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 COOPER RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305445",
            "telephone_number": "805-483-8644",
            "fax_number": "805-483-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COOPER RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930305445",
            "telephone_number": "805-483-8644",
            "fax_number": "805-483-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZDEYASNAN PHARMACEUTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "MAZDEYASNAN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-483-8644",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0540028",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA464370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEONS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.