Active NPI
Latifa Qayoum, PHARM. D.
- Pharmacist
- Moscow, ID
National Provider Identifier
1982848545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6146
- Practice address
- 1810 W Pullman Rd
Moscow, ID 83843-4014 - Phone
- (208) 882-3583
- NPI assigned
- Apr 27, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6146 | ID | Primary |
| Pharmacist | 183500000X | PH00072591 | WA |
Addresses
Primary practice location
1810 W Pullman Rd
Moscow, ID 83843-4014
Mailing address
1610 NW Nicole CT
Pullman, WA 99163-8881
Phone (509) 432-5026
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 |
|---|---|---|---|
| P6146 | ID | MD | Pharmacist |
| PH00072591 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1982848545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 NW NICOLE CT",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991638881",
"telephone_number": "509-432-5026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 W PULLMAN RD",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838434014",
"telephone_number": "208-882-3583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QAYOUM",
"first_name": "LATIFA",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6146",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00072591",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.