Individual provider Active NPI

Niloufar Mohebbi, PHARMD

  • Pharmacist
  • Olathe, KS
National Provider Identifier
1508453515
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-100750 Issued in KS
Practice address
18101 W 119TH St
Olathe, KS 66061-9532
Phone
(913) 393-4154
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-100750 KS Primary

Addresses

Primary practice location

18101 W 119TH St
Olathe, KS 66061-9532

Mailing address

11450 Lamar Ave Unit 2403
Overland Park, KS 66211-1569
Phone (913) 244-0389

Other names 1

  • Nellie Mohebbi Other name

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
1-100750KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1508453515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 LAMAR AVE UNIT 2403",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111569",
            "telephone_number": "913-244-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660619532",
            "telephone_number": "913-393-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEBBI",
        "first_name": "NILOUFAR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-100750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLIE",
            "last_name": "MOHEBBI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.