Active NPI
Anoiel Gevergizian, PHARMD.
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1710430293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S021985
- Practice address
- 2001 W Camelback Rd
Ste 290
Phoenix, AZ 85015 - Phone
- (844) 866-3730
- NPI assigned
- Aug 1, 2016
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0016634 | OR | |
| Pharmacist | 183500000X | 5302045832 | MI | |
| Pharmacist | 183500000X | A1-0005027 | DE | |
| Pharmacist | 183500000X | 17227 | OK | |
| Pharmacist | 183500000X | 43970 | TN | |
| Pharmacist | 183500000X | 26139 | MD | |
| Pharmacist | 183500000X | 020121 | KY | |
| Pharmacist | 183500000X | S021985 | AZ | Primary |
Addresses
Primary practice location
2001 W Camelback Rd
Ste 290
Phoenix, AZ 85015
Mailing address
2001 W Camelback Rd
Ste 290
Phoenix, AZ 85015-3466
Phone (844) 866-3730
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 |
|---|---|---|---|
| S021985 | AZ | MD | Pharmacist |
| A1-0005027 | DE | MD | Pharmacist |
| 020121 | KY | MD | Pharmacist |
| 26139 | MD | MD | Pharmacist |
| 5302045832 | MI | MD | Pharmacist |
| 17227 | OK | MD | Pharmacist |
| RPH-0016634 | OR | MD | Pharmacist |
| 43970 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1710430293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 W CAMELBACK RD",
"address_2": "STE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850153466",
"telephone_number": "844-866-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W CAMELBACK RD",
"address_2": "STE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "844-866-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEVERGIZIAN",
"first_name": "ANOIEL",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-01",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016634",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045832",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0005027",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "17227",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "43970",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26139",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "020121",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.