Dimosthenis S. Tzavaris, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-13300 Issued in KS

Practice address

13450 S Blackbob Rd
Olathe, KS 66062-1503

Phone

(913) 829-3176

Fax

(913) 829-9115

NPI assigned

Oct 5, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1104100379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621503",
            "telephone_number": "913-829-3176",
            "fax_number": "913-829-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621503",
            "telephone_number": "913-829-3176",
            "fax_number": "913-829-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZAVARIS",
        "first_name": "DIMOSTHENIS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-13300",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Olathe, KS
• Providers in Olathe, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.