Healthcare Provider Details

I. General information

NPI: 1831611102
Provider Name (Legal Business Name): KEVIN MICHAEL HAWKINS PHARND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2017
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 E PENNSYLVANIA ST
TUCSON AZ
85714-1675
US

IV. Provider business mailing address

PO BOX 36703
TUCSON AZ
85740-6703
US

V. Phone/Fax

Practice location:
  • Phone: 520-834-8794
  • Fax:
Mailing address:
  • Phone: 520-975-2118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS023236
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number00154155
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number4151106
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: