Individual provider Active NPI

Matin Ghafuri, PHARM.D.

  • Pharmacist
  • Yuma, AZ
National Provider Identifier
1013288513
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S018808 Issued in AZ
Practice address
1450 S Yuma Palms Pkwy
T2083
Yuma, AZ 85365-1707
Phone
(928) 343-7466
NPI assigned
Jan 16, 2012
Last updated
Jan 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S018808 AZ Primary
Pharmacist 183500000X 36062 TN

Addresses

Primary practice location

1450 S Yuma Palms Pkwy
T2083
Yuma, AZ 85365-1707

Mailing address

1450 S Yuma Palms Pkwy
T2083
Yuma, AZ 85365-1707
Phone (928) 343-7466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S018808AZMDPharmacist
36062TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1013288513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S YUMA PALMS PKWY",
            "address_2": "T2083",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651707",
            "telephone_number": "928-343-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S YUMA PALMS PKWY",
            "address_2": "T2083",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651707",
            "telephone_number": "928-343-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFURI",
        "first_name": "MATIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018808",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "36062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.