Active NPI
Rahim Soltanshahi
- Pharmacist
- Festus, MO
National Provider Identifier
1316306251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2014029422
- Practice address
- 519 S Truman Blvd
Festus, MO 63028-2232 - Phone
- (636) 937-3641
- NPI assigned
- Feb 21, 2016
- 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 | 2014029422 | MO | Primary |
Addresses
Primary practice location
519 S Truman Blvd
Festus, MO 63028-2232
Mailing address
1183 Starlight Dr
Arnold, MO 63010-3021
Phone (618) 334-2566
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 |
|---|---|---|---|
| 2014029422 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456012800000",
"number": "1316306251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1183 STARLIGHT DR",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630103021",
"telephone_number": "618-334-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 S TRUMAN BLVD",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282232",
"telephone_number": "636-937-3641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLTANSHAHI",
"first_name": "RAHIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-21",
"last_updated": "2016-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2014029422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.