NPIMap

Organization Active NPI

Imran Pharmacy

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1730244161
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5995 Issued in MO
Legal business name
IMRAN PHARMACY
Doing business as
IMRAN PHARMACY
Practice address
3737 N Kingshighway Blvd
Ste 100
Saint Louis, MO 63115-1736
Phone
(314) 381-9394
Fax
(314) 381-8833
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Rehan Rana
Title
Pic
Phone
(731) 730-2092

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5995 MO Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

3737 N Kingshighway Blvd
Ste 100
Saint Louis, MO 63115-1736

Mailing address

3737 N Kingshighway Blvd
Ste 100
Saint Louis, MO 63115-1736
Phone (314) 381-9394

Other identifiers 2

IdentifierTypeStateIssuer
608291001AMedicaidMO
2630780OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • IMRAN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3737 N Kingshighway Blvd
Ste 100
Saint Louis, MO 63115
Phone (314) 381-9394

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1730244161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N KINGSHIGHWAY BLVD",
            "address_2": "STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151736",
            "telephone_number": "314-381-9394",
            "fax_number": "314-381-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N KINGSHIGHWAY BLVD",
            "address_2": "STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151736",
            "telephone_number": "314-381-9394",
            "fax_number": "314-381-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMRAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "REHAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "731-730-2092"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "5995",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608291001A",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2630780",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMRAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.