Active NPI
David W Kazarian, RPH
- Pharmacist
- St Petersburg, FL
National Provider Identifier
1730256850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 11034
- Practice address
- 11880 28TH St N
St Petersburg, FL 33716-1824 - Phone
- (727) 573-7847
- Fax
- (727) 573-0535
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 033-0002591 | VT | |
| Pharmacist | 183500000X | 4144 | CT | |
| Pharmacist | 183500000X | PS 11034 | FL | Primary |
Addresses
Primary practice location
11880 28TH St N
St Petersburg, FL 33716-1824
Mailing address
11880 28TH St N
St Petersburg, FL 33716-1824
Phone (727) 573-7847
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 |
|---|---|---|---|
| 4144 | CT | MD | Pharmacist |
| PS 11034 | FL | MD | Pharmacist |
| 033-0002591 | VT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1730256850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11880 28TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161824",
"telephone_number": "727-573-7847",
"fax_number": "727-573-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11880 28TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161824",
"telephone_number": "727-573-7847",
"fax_number": "727-573-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZARIAN",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VT",
"license": "033-0002591",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "4144",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 11034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.