Active NPI
Mahshid Etemad
- Pharmacist
- Overland Park, KS
National Provider Identifier
1174387997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-109533
- Practice address
- 15613 Reeds St
Overland Park, KS 66223-3457 - Phone
- (913) 804-7004
- NPI assigned
- Feb 12, 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 | 1-109533 | KS | Primary |
Addresses
Primary practice location
15613 Reeds St
Overland Park, KS 66223-3457
Mailing address
15613 Reeds St
Overland Park, KS 66223-3457
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 |
|---|---|---|---|
| 1-109533 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1174387997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15613 REEDS ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662233457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15613 REEDS ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662233457",
"telephone_number": "913-804-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETEMAD",
"first_name": "MAHSHID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-109533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.