IndividualActive
Mitra Moaddelly
NPI 1922110360 · Pharmacist · Encino, CA
Mitra Moaddelly is a Pharmacist provider in Encino, CA (NPI 1922110360).
Provider details
- NPI number
- 1922110360
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RPH50285 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17717 Martha St
Encino, CA 91316-1145
Phone: (818) 881-4757
Street-level locationGet directions
Mailing address
17717 Martha St
Encino, CA 91316-1145
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mitra Moaddelly's NPI number?
- Mitra Moaddelly's National Provider Identifier (NPI) is 1922110360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitra Moaddelly's specialty?
- Mitra Moaddelly is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mitra Moaddelly located?
- Mitra Moaddelly's practice location on file with NPPES is 17717 Martha St, Encino, CA 91316-1145.
- What is Mitra Moaddelly's phone number?
- The practice phone number listed in the NPPES registry for Mitra Moaddelly is (818) 881-4757.
- Is Mitra Moaddelly's NPI active?
- Yes — Mitra Moaddelly's NPI (1922110360) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.