Individual provider Active NPI

Yashar Basseri, PHARMD

  • Pharmacist
  • Virginia Beach, VA
National Provider Identifier
1770872202
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202210098 Issued in VA
Practice address
5232 Fairfield Shopping Ctr
Virginia Beach, VA 23464-4212
Phone
(757) 495-0900
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202210098 VA Primary

Addresses

Primary practice location

5232 Fairfield Shopping Ctr
Virginia Beach, VA 23464-4212

Mailing address

3437 Green Pine LN
Virginia Beach, VA 23452-5902
Phone (757) 340-5374

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

LicenseStateTypeSpecialty
0202210098VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1770872202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3437 GREEN PINE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234525902",
            "telephone_number": "757-340-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 FAIRFIELD SHOPPING CTR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644212",
            "telephone_number": "757-495-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSERI",
        "first_name": "YASHAR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202210098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.