Active NPI
Golnaz Rezvani, RPH
- Pharmacist
- Reston, VA
National Provider Identifier
1336740174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202012300
- Practice address
- 1450 North Point Village Center
Reston, VA 20194 - Phone
- (703) 437-0037
- Fax
- (844) 411-6507
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- 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 | 0202012300 | VA | Primary |
Addresses
Primary practice location
1450 North Point Village Center
Reston, VA 20194
Mailing address
1450 Northpoint Village Ctr
Reston, VA 20194-1190
Phone (703) 437-0037
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RESTON | Health Information Exchange (HIE) |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202012300 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Interoperability endpoints
- justin1336740174@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Community/Retail Pharmacy
- Reston, VA
- NPI 1912930264
-
- Community/Retail Pharmacy
- Parkville, MD
- NPI 1639938020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1336740174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 NORTHPOINT VILLAGE CTR",
"city": "RESTON",
"state": "VA",
"postal_code": "201941190",
"telephone_number": "703-437-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 NORTH POINT VILLAGE CENTER",
"city": "RESTON",
"state": "VA",
"postal_code": "20194",
"telephone_number": "703-437-0037",
"fax_number": "844-411-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZVANI",
"first_name": "GOLNAZ",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202012300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RESTON",
"affiliation": "N",
"endpointDescription": "COMPUTER",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "RESTON",
"address_1": "1450 Northpoint Village Ctr",
"city": "Reston",
"state": "VA",
"country_code": "US",
"postal_code": "201941190",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.