Active NPI
Nilofar Ghulam Hazrat, PHARM.D
- Pharmacist
- Glendale, AZ
National Provider Identifier
1346022464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026728
- Practice address
- 5125 W Olive Ave
Glendale, AZ 85302-4204 - Phone
- (623) 931-0882
- NPI assigned
- Oct 16, 2023
- Last updated
- Nov 11, 2023
- 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 | S026728 | AZ | Primary |
Addresses
Primary practice location
5125 W Olive Ave
Glendale, AZ 85302-4204
Mailing address
5125 W Olive Ave
Glendale, AZ 85302-4204
Phone (623) 931-0882
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 |
|---|---|---|---|
| S026728 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699660800000",
"number": "1346022464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5125 W OLIVE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024204",
"telephone_number": "623-931-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 W OLIVE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853024204",
"telephone_number": "623-931-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHULAM HAZRAT",
"first_name": "NILOFAR",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2023-11-11",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.