Active NPI
Kayvon Anthony Parvizi
- Pharmacotherapy Pharmacist
- Burton, MI
National Provider Identifier
1598249492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302042860
- Practice address
- G-2333 Center Rd
Burton, MI 48519 - Phone
- (810) 744-9710
- Fax
- (810) 744-9765
- NPI assigned
- Sep 18, 2018
- Last updated
- Sep 18, 2018
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302042860 | MI | Primary |
Addresses
Primary practice location
G-2333 Center Rd
Burton, MI 48519
Mailing address
5427 Gina Dr
Swartz Creek, MI 48473-8829
Phone (810) 655-3305
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 |
|---|---|---|---|
| 5302042860 | MI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1598249492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5427 GINA DR",
"city": "SWARTZ CREEK",
"state": "MI",
"postal_code": "484738829",
"telephone_number": "810-655-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G-2333 CENTER RD",
"city": "BURTON",
"state": "MI",
"postal_code": "48519",
"telephone_number": "810-744-9710",
"fax_number": "810-744-9765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARVIZI",
"first_name": "KAYVON",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302042860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.