Individual provider Active NPI

Bahman A. Javan, PHARM. D

  • Pharmacist
  • Pensacola, FL
National Provider Identifier
1265565717
Registry record updated Sep 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS42202 Issued in FL
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

Updated by the provider on Sep 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PU9172OtherFLCONSULTANT PHARMACIST

Other names 1

  • Dr. Bob A. Javan Professional name

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

LicenseStateTypeSpecialty
PS42202FLMDPharmacist
RPH018940GAMDPharmacist
PU9172FLMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.