Active NPI
Hossein Monzavi
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Cambridge, MA
National Provider Identifier
1356954010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 19844
- Practice address
- 25 Carleton St BLDG E-23
Cambridge, MA 02142-1323 - Phone
- (617) 253-1324
- Fax
- (617) 258-9360
- NPI assigned
- Aug 24, 2020
- Sex
- Male
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 19844 | MA | Primary |
Addresses
Primary practice location
25 Carleton St BLDG E-23
Cambridge, MA 02142-1323
Mailing address
25 Carleton St BLDG E-23
Cambridge, MA 02142-1323
Phone (617) 253-1324
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19844 | MA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1356954010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CARLETON ST BLDG E-23",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421323",
"telephone_number": "617-253-1324",
"fax_number": "617-258-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CARLETON ST BLDG E-23",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021421323",
"telephone_number": "617-253-1324",
"fax_number": "617-258-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONZAVI",
"first_name": "HOSSEIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MA",
"license": "19844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.