Active NPI
Rajan Devan, RPH
- Pharmacist
- Des Moines, IA
National Provider Identifier
1619149689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19490
- Practice address
- 1819 Beaver Ave
Des Moines, IA 50310-3815 - Phone
- (515) 279-4382
- Fax
- (515) 255-6079
- NPI assigned
- Mar 30, 2008
- Last updated
- Mar 30, 2008
- 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 | 19490 | IA | Primary |
Addresses
Primary practice location
1819 Beaver Ave
Des Moines, IA 50310-3815
Mailing address
1819 Beaver Ave
Des Moines, IA 50310-3815
Phone (515) 279-4382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19490 | Other | IA | BOARD OF PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19490 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206835200000",
"number": "1619149689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 BEAVER AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503103815",
"telephone_number": "515-279-4382",
"fax_number": "515-255-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 BEAVER AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503103815",
"telephone_number": "515-279-4382",
"fax_number": "515-255-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVAN",
"first_name": "RAJAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-30",
"last_updated": "2008-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "19490",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
- Des Moines University Osteopathic Medical Center
- Des Moines University Osteopathic Medical Center (Des Moines University Clinic)
- Tara Ann Desocio-Young, RN
- Douglas John Detrick, CADC
- Lauren Devan, LCSW
- Lynzy Marie Devary, ARNP
- Darrel Devick, DO
- Connor I Devin
- Samuel Douglas Devine, RPH
- Kevin Layne Devnich, CCP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.