MOHMMAD KHOSHNEVISZADEH (NPI# 1306332622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306332622 |
| Entity Type | Individual |
| Full Name | MOHMMAD KHOSHNEVISZADEH |
| Practice Address |
4100 S Bolger Rd Independence MO 64055-6772 |
| Mailing Address |
5128 S Tierney Dr Independence MO 64055-6939 |
| Practice Telephone | 8163502931 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
044343 | MO | Pharmacy Service Providers |
| Street Address |
4100 S BOLGER RD |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-6772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601013 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4100 S Bolger Rd, Independence, MO 64055-6772 | 2006-07-16 |
| 1316023518 | Sam's Club Optical | Technician/Technologist | 4100 S Bolger Rd, Independence, MO 64055-6772 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1881197713 | Ude Uche Ude | Pharmacist | 118 Edna, Waynesville, MO 65583-7875 | 2018-03-16 |
| 1598280455 | Dennis Pezzani | Pharmacist | 1 Academy Pl, Dardenne Prairie, MO 63368-7602 | 2017-08-11 |
| 1508228644 | Caren A Miller | Pharmacist | 212 Nw 21st Rd, Warrensburg, MO 64093-7901 | 2016-03-28 |
| 1548861404 | Kendra Karmel Fitzgerald | Pharmacist | 2543 Hood Ave, Overland, MO 63114-3259 | 2020-11-05 |
| 1588289789 | Bailey Lane Sherry | Pharmacist | 1100 S Springfield Ave, Bolivar, MO 65613-2512 | 2020-06-12 |
| 1114546983 | Amy Nguyen | Pharmacist | 8301 N Church Rd, Kansas City, MO 64158-1106 | 2020-04-13 |
| 1962021733 | Brian Grace | Pharmacist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-04-13 |
| 1982247706 | Paul Hanbo Chin | Pharmacist | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2019-10-24 |
| 1093358293 | Margaret Stepaniak | Pharmacist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2019-10-21 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on MOHMMAD KHOSHNEVISZADEH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.