Active NPI
Qaiuum Feroz
- Pharmacist
- Kansas City, MO
National Provider Identifier
1386215382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019031407
- Practice address
- 9430 Blue Ridge Blvd
Kansas City, MO 64138-3846 - Phone
- (816) 754-6794
- NPI assigned
- Jul 9, 2021
- 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 | 2019031407 | MO | Primary |
Addresses
Primary practice location
9430 Blue Ridge Blvd
Kansas City, MO 64138-3846
Mailing address
9430 Blue Ridge Blvd
Kansas City, MO 64138-3846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183500000X | Other | MO | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NPI | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 2019031407 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversity Family Pharmacy Inc | Current | 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.
-
dba Diversity Family Pharmacy
- Community/Retail Pharmacy
- Oklahoma City, OK
- NPI 1790471407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1386215382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9430 BLUE RIDGE BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641383846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 BLUE RIDGE BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641383846",
"telephone_number": "816-754-6794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEROZ",
"first_name": "QAIUUM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019031407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "183500000X",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NPI",
"affiliation": "N",
"endpointDescription": "NPI",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NPI",
"address_1": "9430 Blue Ridge Blvd",
"city": "Kansas City",
"state": "MO",
"country_code": "US",
"postal_code": "641383846",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 9, 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.