Individual provider Active NPI

James Roland Rehovsky, R.PH

  • Pharmacist
  • Litchfield Park, AZ
National Provider Identifier
1174286595
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S8636 Issued in AZ
Practice address
18919 W Verde LN
Litchfield Park, AZ 85340-8587
Phone
(602) 350-6171
NPI assigned
Oct 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S8636 AZ Primary

Addresses

Primary practice location

18919 W Verde LN
Litchfield Park, AZ 85340-8587

Mailing address

18919 W Verde LN
Litchfield Park, AZ 85340-8587
Phone (602) 350-6171

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pharmacy Health Information Exchange (HIE)

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S8636AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1174286595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18919 W VERDE LN",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853408587",
            "telephone_number": "602-350-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18919 W VERDE LN",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853408587",
            "telephone_number": "602-350-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHOVSKY",
        "first_name": "JAMES",
        "middle_name": "ROLAND",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S8636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "endpointDescription": "Pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pharmacist",
            "address_1": "18919 W Verde Ln",
            "city": "Litchfield Park",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853408587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.