Individual provider Active NPI

Rana Sameer Alahmedi

  • Pharmacist
  • Appleton, WI
National Provider Identifier
1982202396
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19174-40 Issued in WI
Practice address
3701 E Calumet St
Appleton, WI 54915-4149
Phone
(920) 996-0746
Fax
(920) 996-0757
NPI assigned
Oct 16, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19174-40 WI Primary

Addresses

Primary practice location

3701 E Calumet St
Appleton, WI 54915-4149

Mailing address

2606 Southwood Dr
Appleton, WI 54915-1438
Phone (414) 551-1487

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
19174-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1982202396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 SOUTHWOOD DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151438",
            "telephone_number": "414-551-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 E CALUMET ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154149",
            "telephone_number": "920-996-0746",
            "fax_number": "920-996-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAHMEDI",
        "first_name": "RANA",
        "middle_name": "SAMEER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19174-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.