Provider Demographics
NPI:1477430007
Name:FAHMI, ROCHDY
Entity type:Individual
Prefix:
First Name:ROCHDY
Middle Name:
Last Name:FAHMI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16543 VINTAGE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-1125
Mailing Address - Country:US
Mailing Address - Phone:818-807-4031
Mailing Address - Fax:
Practice Address - Street 1:16543 VINTAGE ST
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-1125
Practice Address - Country:US
Practice Address - Phone:818-807-4031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH91090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty