Active NPI
Eduard Mullokandov, PHARM.D.
- Pharmacist
- Overland Park, KS
National Provider Identifier
1558780577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-15787
- Practice address
- 8712 W 157TH St
Overland Park, KS 66221-9328 - Phone
- (913) 244-6256
- NPI assigned
- Apr 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 1-15787 | KS | Primary |
Addresses
Primary practice location
8712 W 157TH St
Overland Park, KS 66221-9328
Mailing address
8712 W 157TH St
Overland Park, KS 66221-9328
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-15787 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1558780577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8712 W 157TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662219328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8712 W 157TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662219328",
"telephone_number": "913-244-6256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLOKANDOV",
"first_name": "EDUARD",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15787",
"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 Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.