Individual provider Active NPI

Behan Nakhaie Jazar

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1154104222
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP454015 Issued in PA
Practice address
401 Spring Garden St
Philadelphia, PA 19123-2818
Phone
(215) 418-3065
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP454015 PA Primary

Addresses

Primary practice location

401 Spring Garden St
Philadelphia, PA 19123-2818

Mailing address

2527 E Thompson St
Philadelphia, PA 19125-3729

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

LicenseStateTypeSpecialty
RP454015PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Chespenn Health Services Past Accepting new patients
Chespenn Health Services Past Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Aug 27, 2023 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. PastSince Aug 27, 2023 Accepting new patients
Chespenn Health Services Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1154104222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 E THOMPSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232818",
            "telephone_number": "215-418-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKHAIE JAZAR",
        "first_name": "BEHAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP454015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.