Active NPI
Fatemehalsadat Rezaei
- Pharmacist
- Versailles, KY
National Provider Identifier
1396522108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH88302
- Practice address
- 199 Lexington St
Versailles, KY 40383-1211 - Phone
- (859) 873-5451
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- 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 | 183500000X | RPH88302 | CA | Primary |
Addresses
Primary practice location
199 Lexington St
Versailles, KY 40383-1211
Mailing address
2120 Manor Dr Apt 211
Lexington, KY 40502-2626
Phone (773) 441-5403
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 |
|---|---|---|---|
| RPH88302 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1396522108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 MANOR DR APT 211",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405022626",
"telephone_number": "773-441-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 LEXINGTON ST",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831211",
"telephone_number": "859-873-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZAEI",
"first_name": "FATEMEHALSADAT",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH88302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.