Individual provider Active NPI

Peyton Fakharpour, PHARMACIST

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1699553412
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
023807 Issued in KY
Practice address
9500 Preston Hwy
Louisville, KY 40229-1199
Phone
(502) 962-3710
Fax
(502) 962-3765
NPI assigned
Sep 21, 2023
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 023807 KY Primary

Addresses

Primary practice location

9500 Preston Hwy
Louisville, KY 40229-1199

Mailing address

9500 Preston Hwy
Louisville, KY 40229-1199
Phone (502) 962-3710

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

LicenseStateTypeSpecialty
023807KYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1699553412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402291199",
            "telephone_number": "502-962-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402291199",
            "telephone_number": "502-962-3710",
            "fax_number": "502-962-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHARPOUR",
        "first_name": "PEYTON",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "023807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.