Active NPI
Pegah Parvizian, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Glen Burnie, MD
National Provider Identifier
1447522198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 20235
- Practice address
- 305 Hospital Dr
Suite B101
Glen Burnie, MD 21061-5805 - Phone
- (443) 690-3200
- Fax
- (410) 595-1906
- NPI assigned
- Jan 27, 2012
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 20235 | MD | Primary |
Addresses
Primary practice location
305 Hospital Dr
Suite B101
Glen Burnie, MD 21061-5805
Mailing address
305 Hospital Dr
Suite B101
Glen Burnie, MD 21061-5805
Phone (443) 690-3200
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 |
|---|---|---|---|
| 20235 | MD | 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": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1447522198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 HOSPITAL DR",
"address_2": "SUITE B101",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615805",
"telephone_number": "443-690-3200",
"fax_number": "410-595-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 HOSPITAL DR",
"address_2": "SUITE B101",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615805",
"telephone_number": "443-690-3200",
"fax_number": "410-595-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARVIZIAN",
"first_name": "PEGAH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "20235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.