Abdolreza Kossarian, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

CA58044 Issued in CA

Practice address

17864 Ventura Blvd
Encino, CA 91316-3615

Phone

(818) 345-5456

Fax

(818) 345-9846

NPI assigned

Apr 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1942697008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17864 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163615",
            "telephone_number": "818-345-5456",
            "fax_number": "818-345-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17864 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163615",
            "telephone_number": "818-345-5456",
            "fax_number": "818-345-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSARIAN",
        "first_name": "ABDOLREZA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "CA58044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Kopel, PH.D.
• Stanley M Kopelow, MD
• E Barbara Koretz, B.C.D., L.C.S.W.
• Lara Kose, MD
• Ronald Ira Koslowski, DDS
• Nicole Koulisis, MD
• George K Koutsoukos, DDS, MS
• Rachel Kowalski, MS-CCC SLP
• Arthur P. Kowell, M.D.
• Elena Krail

• Pharmacist in Encino, CA
• Providers in Encino, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.