Active NPI
Khondker Masum Parvez, PHARM.D
- Pharmacist
- Redlands, CA
National Provider Identifier
1023489473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65848
- Practice address
- 2050 W Redlands Blvd
Redlands, CA 92373-6228 - Phone
- (909) 792-6260
- Fax
- (909) 798-6672
- NPI assigned
- Oct 12, 2015
- Sex
- Male
- 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 | 65848 | CA | Primary |
Addresses
Primary practice location
2050 W Redlands Blvd
Redlands, CA 92373-6228
Mailing address
7939 Ocean St
Fontana, CA 92336-3714
Phone (909) 565-3750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65848 | Other | CA | PHARMACIST LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1023489473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7939 OCEAN ST",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363714",
"telephone_number": "909-565-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 W REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923736228",
"telephone_number": "909-792-6260",
"fax_number": "909-798-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARVEZ",
"first_name": "KHONDKER",
"middle_name": "MASUM",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-12",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "65848",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.