Individual provider Active NPI

Oleyad Seyum Taye, PHARM D

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1245993906
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2021035021 Issued in MO
Practice address
5440 NW 64TH St
Kansas City, MO 64151-2415
Phone
(816) 741-5576
Fax
(816) 587-3566
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2021035021 MO Primary

Addresses

Primary practice location

5440 NW 64TH St
Kansas City, MO 64151-2415

Mailing address

5440 NW 64TH St
Kansas City, MO 64151-2415
Phone (816) 741-5576

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

LicenseStateTypeSpecialty
2021035021MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1245993906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 NW 64TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512415",
            "telephone_number": "816-741-5576",
            "fax_number": "816-587-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 NW 64TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512415",
            "telephone_number": "816-741-5576",
            "fax_number": "816-587-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYE",
        "first_name": "OLEYAD",
        "middle_name": "SEYUM",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021035021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.