Active NPI
Javid Razack
- Pharmacist
- Shaker Heights, OH
National Provider Identifier
1174320980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03445118
- Practice address
- 20200 Van Aken Blvd
Shaker Heights, OH 44122-3623 - Phone
- (216) 751-4521
- NPI assigned
- Feb 27, 2025
- Last updated
- Feb 27, 2025
- 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 | 03445118 | OH | Primary |
Addresses
Primary practice location
20200 Van Aken Blvd
Shaker Heights, OH 44122-3623
Mailing address
338 Cheyenne FLS
Avon Lake, OH 44012-2600
Phone (440) 315-1158
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 |
|---|---|---|---|
| 03445118 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1740614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1174320980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 CHEYENNE FLS",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122600",
"telephone_number": "440-315-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20200 VAN AKEN BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441223623",
"telephone_number": "216-751-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZACK",
"first_name": "JAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03445118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.