Active NPI
Waqas Asif
- Pharmacist
- Prairie Village, KS
National Provider Identifier
1033877204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1114162
- Practice address
- 4016 W 95TH St
Prairie Village, KS 66207-2702 - Phone
- (913) 307-3057
- Fax
- (913) 307-3063
- NPI assigned
- Dec 3, 2021
- Last updated
- Dec 3, 2021
- 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 | 1114162 | KS | Primary |
Addresses
Primary practice location
4016 W 95TH St
Prairie Village, KS 66207-2702
Mailing address
4016 W 95TH St
Prairie Village, KS 66207-2702
Phone (913) 307-3057
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 |
|---|---|---|---|
| 1114162 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4016 W 95th St
Prairie Village, KS 66207
Phone (913) 307-3057
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1033877204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4016 W 95TH ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662072702",
"telephone_number": "913-307-3057",
"fax_number": "913-307-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 W 95TH ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662072702",
"telephone_number": "913-307-3057",
"fax_number": "913-307-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASIF",
"first_name": "WAQAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1114162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.