Mayur Dev, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

S012925 Issued in AZ

Practice address

5068 N Central Ave
Phoenix, AZ 85012-1521

Phone

(602) 275-5719

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Fairmont Pharmacy, LLC

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1184941585
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1235835745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 E ELM ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164840",
            "telephone_number": "480-444-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121521",
            "telephone_number": "602-275-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEV",
        "first_name": "MAYUR",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S012925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "S012925",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Scott Detwiler, CRNA
• Laureen Deublein
• Daniel Joseph Deusterman, F.N.P.
• Patricia Deutsch, BS HEALTH COACH
• Sharon Deutsch
• Raghu V Devabhaktuni, MD
• Sreya Devabhaktuni, MD
• Patrick A Devaleria, M.D.
• Sinthuja Devarajan
• Bailey Devenport, CPNP-PC

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.