DR. MITRA MOADDELLY
NPI 1922110360
Pharmacist in Encino, CA

Active since August 31, 2006
17717 MARTHA ST, ENCINO, CA 91316(818) 881-4757 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mitra Moaddelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITRA MOADDELLY (NPI 1922110360) is an individual pharmacist in Encino, California, licensed in California (RPH50285) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1922110360
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. MITRA MOADDELLY
Location Address17717 MARTHA STEncino, CA 91316-1145
Mailing Address17717 Martha StEncino, CA 91316-1145 · (818) 881-4757
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1922110360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · RPH50285
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
17717 MARTHA ST, Encino, CA 91316

Other Identifiers 1

OtherRPH50285CA · Ca License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitra Moaddelly's NPI number?

The NPI number for Mitra Moaddelly is 1922110360. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mitra Moaddelly located?

Mitra Moaddelly practices at 17717 Martha St, Encino, CA 91316. The listed phone number is (818) 881-4757.

What is Mitra Moaddelly's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mitra Moaddelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.