Individual provider Active NPI

Sholeh Yousefian, PHARMD

  • Pharmacist
  • Upland, CA
National Provider Identifier
1962138271
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH49770 Issued in CA
Practice address
555 N Benson Ave Ste FP
Upland, CA 91786-5075
Phone
(909) 593-2787
Fax
(909) 593-0797
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH49770 CA Primary

Addresses

Primary practice location

555 N Benson Ave Ste FP
Upland, CA 91786-5075

Mailing address

1921 N Redding Way
Upland, CA 91784-1617
Phone (626) 622-7002

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
RPH49770CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American SVC Inc CurrentSince Aug 28, 2022 Accepting new patients

Locations

555 N Benson Ave
Ste Fp
Upland, CA 91786
Phone (909) 593-2787

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1962138271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 N REDDING WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841617",
            "telephone_number": "626-622-7002",
            "fax_number": "909-593-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BENSON AVE STE FP",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865075",
            "telephone_number": "909-593-2787",
            "fax_number": "909-593-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFIAN",
        "first_name": "SHOLEH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH49770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.