Active NPI
Maryam Nowakhtar, PHARM. D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1962789461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65838
- Practice address
- 3535 S la Cienega Blvd
Los Angeles, CA 90016-4407 - Phone
- (310) 895-1132
- NPI assigned
- Nov 10, 2011
- Sex
- Female
- 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 | 65838 | CA | Primary |
Addresses
Primary practice location
3535 S la Cienega Blvd
Los Angeles, CA 90016-4407
Mailing address
1442 Brockton Ave Apt 5
Los Angeles, CA 90025-2152
Phone (310) 270-3616
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1962789461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1442 BROCKTON AVE APT 5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252152",
"telephone_number": "310-270-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 S LA CIENEGA BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900164407",
"telephone_number": "310-895-1132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAKHTAR",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.