Active NPI
Sidra Pervez, PHARMACIST
- Pharmacist
- Maricopa, AZ
National Provider Identifier
1013761394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026908
- Practice address
- 19060 N John Wayne Pkwy
Maricopa, AZ 85139-2923 - Phone
- (520) 534-0700
- NPI assigned
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S026908 | AZ | Primary |
Addresses
Primary practice location
19060 N John Wayne Pkwy
Maricopa, AZ 85139-2923
Mailing address
22800 N Bolivia St
Maricopa, AZ 85138-5002
Phone (248) 525-5971
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S026908 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1013761394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22800 N BOLIVIA ST",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851385002",
"telephone_number": "248-525-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19060 N JOHN WAYNE PKWY",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851392923",
"telephone_number": "520-534-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERVEZ",
"first_name": "SIDRA",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.