Active NPI
Misbah Irfan, PHARM. D
- Pharmacist
- Kettering, OH
National Provider Identifier
1104633544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03444967
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (317) 965-1073
- NPI assigned
- Dec 17, 2024
- Sex
- Female
- 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 | 03444967 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
10598 Pollard Park
Indianapolis, IN 46234-1236
Phone (317) 965-1073
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03444967 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1104633544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10598 POLLARD PARK",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462341236",
"telephone_number": "317-965-1073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "317-965-1073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRFAN",
"first_name": "MISBAH",
"name_prefix": "Mrs.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03444967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.