=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154082964
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BIOCONNECT INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/04/2022
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2920 E THOUSAND OAKS BLVD STE C-E
-----------------------------------------------------
City | THOUSAND OAKS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91362-3200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-516-7040
-----------------------------------------------------
Fax | 805-516-7102
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2920 E THOUSAND OAKS BLVD STE C-E
-----------------------------------------------------
City | THOUSAND OAKS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91362-3200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-516-7040
-----------------------------------------------------
Fax | 805-516-7102
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | KAMBIZ BARKHORDARZADEH
-----------------------------------------------------
Credential | PHARM D
-----------------------------------------------------
Telephone | 805-516-7040
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------