Individual provider Active NPI

Urooj Masoom

  • Pharmacist
  • Overland Park, KS
National Provider Identifier
1992386858
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-101128 Issued in KS
Practice address
7000 W 75TH St
Overland Park, KS 66204-3029
Phone
(913) 432-1107
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-101128 KS Primary

Addresses

Primary practice location

7000 W 75TH St
Overland Park, KS 66204-3029

Mailing address

6405 Alden St
Shawnee, KS 66216-2139
Phone (913) 709-0619

Other identifiers 1

IdentifierTypeStateIssuer
K03265016OtherKSDRIVER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PioneerRx Health Information Exchange (HIE)

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
1-101128KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1992386858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 ALDEN ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662162139",
            "telephone_number": "913-709-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662043029",
            "telephone_number": "913-432-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOOM",
        "first_name": "UROOJ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-101128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "K03265016",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PioneerRx",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7000 W 75th St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662043029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.