Alireza Lavassani, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH027645 Issued in GA

Practice address

3970 Peachtree Industrial Blvd Ste 200
Berkeley Lake, GA 30096-4813

Phone

(404) 633-4968

NPI assigned

Aug 11, 2016

Last updated

Aug 11, 2016By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Publix Pharmacy

  • Pharmacy
  • Alpharetta, GA
  • NPI 1487055976
  NPD (past) Authorized official
• Med-4-You LLC

  • Community/Retail Pharmacy
  • Berkeley Lake, GA
  • NPI 1942756176
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1336693092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SADDLE BRIDGE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228128",
            "telephone_number": "404-587-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 PEACHTREE INDUSTRIAL BLVD STE 200",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300964813",
            "telephone_number": "404-633-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVASSANI",
        "first_name": "ALIREZA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Berkeley Lake, GA
• Providers in Berkeley Lake, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.