Active NPI
Mostafa Azadbakht
- Pharmacist
- Casa Grande, AZ
National Provider Identifier
1487298196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024145
- Practice address
- 1741 E Florence Blvd
Casa Grande, AZ 85122-4845 - Phone
- (520) 421-1234
- NPI assigned
- Nov 5, 2019
- Last updated
- Nov 5, 2019
- 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 | 183500000X | S024145 | AZ | Primary |
Addresses
Primary practice location
1741 E Florence Blvd
Casa Grande, AZ 85122-4845
Mailing address
5085 N Sunriver Cir Apt 13
Tucson, AZ 85704-2305
Phone (951) 241-3483
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 |
|---|---|---|---|
| S024145 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1487298196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5085 N SUNRIVER CIR APT 13",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857042305",
"telephone_number": "951-241-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 E FLORENCE BLVD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851224845",
"telephone_number": "520-421-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZADBAKHT",
"first_name": "MOSTAFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.