Anwar Muhammad Umar

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

121617 Issued in MN

Practice address

850 County Road E E
Vadnais Heights, MN 55127-7117

Phone

(651) 486-7005

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1659971828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COUNTY ROAD E E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COUNTY ROAD E E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277117",
            "telephone_number": "651-486-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMAR",
        "first_name": "ANWAR",
        "middle_name": "MUHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MN",
            "license": "121617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "121617",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharnacy",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Connexus",
            "address_1": "850 County Road E E",
            "city": "Vadnais Heights",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551277117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacotherapy Pharmacist in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Pharmacotherapy Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.