Active NPI
Kimia Pourahmadi, PHARMD
- Pharmacist
- Plano, TX
National Provider Identifier
1619697745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71064
- Practice address
- 3945 Legacy Dr
Plano, TX 75023-8325 - Phone
- (972) 491-2210
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- 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 | 71064 | TX | Primary |
Addresses
Primary practice location
3945 Legacy Dr
Plano, TX 75023-8325
Mailing address
1160 Montgomery Blvd Apt 4120
Allen, TX 75013-2744
Phone (682) 553-0544
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 |
|---|---|---|---|
| 71064 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1619697745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 MONTGOMERY BLVD APT 4120",
"city": "ALLEN",
"state": "TX",
"postal_code": "750132744",
"telephone_number": "682-553-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 LEGACY DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750238325",
"telephone_number": "972-491-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POURAHMADI",
"first_name": "KIMIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.