F D M Exclusive Image Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45471 Issued in CA

Legal business name

F D M EXCLUSIVE IMAGE INC

Doing business as

Coover Pharmacy

Practice address

891 W 9TH St
San Pedro, CA 90731-3603

Phone

(310) 833-2575

Fax

(310) 832-2531

NPI assigned

Jul 30, 2006

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fariborz MassoudiNPI 1487793741

Title

Owner

Phone

(310) 833-2575

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• COOVER PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fariborz David Massoudi

  • Pharmacy
  • San Pedro, CA
  • NPI 1487793741
  NPD (past) Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1992710545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 W 9TH STREET",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "310-833-2575",
            "fax_number": "310-832-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 W 9TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313603",
            "telephone_number": "310-833-2575",
            "fax_number": "310-832-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F D M EXCLUSIVE IMAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MASSOUDI",
        "authorized_official_first_name": "FARIBORZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-833-2575"
    },
    "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": "PHY45471",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2107535",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY45471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COOVER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucila Estrada
• Jelena Etemovic, RD
• Ethel's Guest Home LLC
• Taquia Evans
• Everfaith Transport LLC
• Amir Faal
• Victoria Fabila
• Mike Faiola
• Brittany A Falcone
• Brooke Falwell, M.S. CCC-SLP/L

• Community/Retail Pharmacy in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.