Provider Demographics
NPI:1467702068
Name:JAVIA, CHIRAG (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CHIRAG
Middle Name:
Last Name:JAVIA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10155 W AVENIDA DEL REY
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1430
Mailing Address - Country:US
Mailing Address - Phone:602-300-2022
Mailing Address - Fax:
Practice Address - Street 1:7910 W THOMAS RD STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-4830
Practice Address - Country:US
Practice Address - Phone:623-401-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist