Individual provider Active NPI

Sohila Sepehri

  • Pharmacist
  • Des Moines, IA
National Provider Identifier
1881892594
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19304 Issued in IA
Practice address
3330 Martin Luther King Jr Pkwy
Des Moines, IA 50310-5672
Phone
(515) 255-6213
Fax
(515) 255-8806
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19304 IA Primary

Addresses

Primary practice location

3330 Martin Luther King Jr Pkwy
Des Moines, IA 50310-5672

Mailing address

3330 Martin Luther King Jr Pkwy
Des Moines, IA 50310-5672
Phone (515) 255-6213

Other identifiers 4

IdentifierTypeStateIssuer
0233916MedicaidIA
1760418941OtherIAPHARMACY NPI
1614571OtherIANABP NUMBER PHARMACY
IA19304OtherIAPHARMACIST LICENSE

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

State licenses

LicenseStateTypeSpecialty
19304IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881892594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MARTIN LUTHER KING JR PKWY",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105672",
            "telephone_number": "515-255-6213",
            "fax_number": "515-255-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MARTIN LUTHER KING JR PKWY",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503105672",
            "telephone_number": "515-255-6213",
            "fax_number": "515-255-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPEHRI",
        "first_name": "SOHILA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "19304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233916",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NPI",
            "identifier": "1760418941",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER PHARMACY",
            "identifier": "1614571",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "IA19304",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.