Active NPI
Ankur Tiwari, PHARMACIST
- Pharmacist
- Lake Havasu City, AZ
National Provider Identifier
1104139831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S017053
- Practice address
- 25 Lake Havasu Ave S
Lake Havasu City, AZ 86403-6565 - Phone
- (928) 453-2808
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | S017053 | AZ | Primary |
Addresses
Primary practice location
25 Lake Havasu Ave S
Lake Havasu City, AZ 86403-6565
Mailing address
25 Lake Havasu Ave S
Lake Havasu City, AZ 86403-6565
Phone (928) 453-2808
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 |
|---|---|---|---|
| S017053 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1104139831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 LAKE HAVASU AVE S",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864036565",
"telephone_number": "928-453-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LAKE HAVASU AVE S",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864036565",
"telephone_number": "928-453-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIWARI",
"first_name": "ANKUR",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Havasu City, AZ
- Betty Jane Thornton Rounds, LCSW
- Thrive Healthcare FNP Inc
- Teresa J Tibbetts, MD
- Summer Yvonne Tilgner, DNP
- Theron C Tilgner, D.O.
- Tizon Emergency Associates, PLLC
- Treatment Assessment Screening Center, Inc
- Trinity Health & Wellness Family Practice PLLC
- Tristate Medical Specialists LLC
- Natascha Eve Troehler, ANP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.