Active NPI
Dmitry Gazarian, PHARMD
- Pharmacist
- Haltom City, TX
National Provider Identifier
1336695105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59120
- Practice address
- 3301 Denton Hwy
Haltom City, TX 76117-3200 - Phone
- (817) 222-9247
- NPI assigned
- Aug 31, 2016
- Last updated
- Aug 31, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59120 | TX | Primary |
Addresses
Primary practice location
3301 Denton Hwy
Haltom City, TX 76117-3200
Mailing address
801 Hebron Pkwy
Apt 11103
Lewisville, TX 75057-5030
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 |
|---|---|---|---|
| 59120 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1336695105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 HEBRON PKWY",
"address_2": "APT 11103",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750575030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 DENTON HWY",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761173200",
"telephone_number": "817-222-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAZARIAN",
"first_name": "DMITRY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haltom City, TX
- Melinda Renee Franklin, RPH
- Chelsea Frazier, PHARMD
- Fresenius Medical Care Northeast Fort Worth, LLC (Northeast Fort Worth Dialysis Center)
- Kristin Earlene Gailloux, RRT-NPS, CPFT
- Rachel M Garza, RDN
- Rebecca Elizabeth George
- Global Journey Transportation LLC
- Mackenzie Rae Glosser, MS
- Courtney Goff
- Jasmeen Goyal, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.