Active NPI
Bevain Kajo
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1194398313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025225
- Practice address
- 1525 N Central Ave
Phoenix, AZ 85004-1646 - Phone
- (602) 919-7448
- NPI assigned
- Jul 24, 2021
- Sex
- Female
- 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 | S025225 | AZ | Primary |
Addresses
Primary practice location
1525 N Central Ave
Phoenix, AZ 85004-1646
Mailing address
1525 N Central Ave
Phoenix, AZ 85004-1646
Phone (602) 919-7448
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 |
|---|---|---|---|
| S025225 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1194398313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041646",
"telephone_number": "602-919-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041646",
"telephone_number": "602-919-7448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAJO",
"first_name": "BEVAIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-24",
"last_updated": "2021-08-25",
"certification_date": "2021-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.