Individual provider Active NPI

Kamyar Ghazvini

  • Pharmacist
  • Schaumburg, IL
National Provider Identifier
1740718444
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051040315 Issued in IL
Practice address
2050 E Algonquin Rd Ste 606
Schaumburg, IL 60173-4161
Phone
(847) 469-2400
Fax
(847) 469-2401
NPI assigned
May 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051040315 IL Primary

Addresses

Primary practice location

2050 E Algonquin Rd Ste 606
Schaumburg, IL 60173-4161

Mailing address

2050 E Algonquin Rd Ste 606
Schaumburg, IL 60173-4161
Phone (847) 469-2400

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
051040315ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutionary Care Infusion, LLC Current Accepting new patients
Evolutionary Pharmacy Solutions, LLC Current Accepting new patients
Superior Pharmacy Solutions, Inc. PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740718444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 E ALGONQUIN RD STE 606",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734161",
            "telephone_number": "847-469-2400",
            "fax_number": "847-469-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 E ALGONQUIN RD STE 606",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734161",
            "telephone_number": "847-469-2400",
            "fax_number": "847-469-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZVINI",
        "first_name": "KAMYAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051040315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.