Fahim Sultani, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S022741 Issued in AZ

Practice address

4747 E Cactus Rd
Phoenix, AZ 85032-7725

Phone

(602) 404-3722

NPI assigned

Aug 25, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1558561316
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1154848570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 E IRMA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850244114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 E CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327725",
            "telephone_number": "602-404-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTANI",
        "first_name": "FAHIM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shea Marie Sullivan
• Tara Sullivan, PT, PRPC, WCS, IF
• Gail M Sulski, N.P.
• Joshua Adam Sultan, MD
• Omema Kulsoom Sultan, PHARM.D.
• Masoud Sultani, M.D.
• Tamim A Sultani, M.D.
• Jayen Sum
• Donna Bella Sumayod, NP
• Mariah Faith Sumerel

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.