Yezan Mohamed Salamoun, PHARMD

Key facts

NPI

1003791302

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

1-105446 (KS)

Practice address

15301 Perry St
Overland Park, KS 66221-7509

Phone

(913) 832-7562

NPI assigned

Aug 7, 2025

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2025.

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1003791302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 PERRY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217509",
            "telephone_number": "913-832-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 PERRY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217509",
            "telephone_number": "913-832-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMOUN",
        "first_name": "YEZAN",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-105446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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