Active NPI
Bahman A. Javan, PHARM. D
- Pharmacist
- Pensacola, FL
National Provider Identifier
1265565717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS42202
- Practice address
- 1101 Office Woods Dr
Pensacola, FL 32504-5937 - Phone
- (850) 805-2080
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH018940 | GA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PU9172 | FL | |
| Pharmacist | 183500000X | PS42202 | FL | Primary |
Addresses
Primary practice location
1101 Office Woods Dr
Pensacola, FL 32504-5937
Mailing address
1101 Office Woods Dr
Pensacola, FL 32504-5937
Phone (850) 805-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PU9172 | Other | FL | CONSULTANT PHARMACIST |
Other names 1
- Dr. Bob A. Javan
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42202 | FL | MD | Pharmacist |
| RPH018940 | GA | MD | Pharmacist |
| PU9172 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Junior Foods Stores of West Flordia Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1699961441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663459200000",
"number": "1265565717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 OFFICE WOODS DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045937",
"telephone_number": "850-805-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OFFICE WOODS DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045937",
"telephone_number": "850-805-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVAN",
"first_name": "BAHMAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2022-09-18",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH018940",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PU9172",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSULTANT PHARMACIST",
"identifier": "PU9172",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BOB",
"last_name": "JAVAN",
"middle_name": "A.",
"prefix": "DR.",
"credential": "PHARM. D",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.