Active NPI
Pedram Nazari
- Pharmacist
- Glendale, AZ
National Provider Identifier
1780017848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020006
- Practice address
- 4811 North 83Rd Avenue
Glendale, AZ 85304 - Phone
- (623) 247-4445
- NPI assigned
- Aug 13, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020006 | AZ | Primary |
Addresses
Primary practice location
4811 North 83Rd Avenue
Glendale, AZ 85304
Mailing address
4811 N 83Rd Ave
Phoenix, AZ 85033-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| S020006 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1780017848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4811 N 83RD AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850331000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 NORTH 83RD AVENUE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85304",
"telephone_number": "623-247-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARI",
"first_name": "PEDRAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-13",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.