Healthcare Provider Details

I. General information

NPI: 1518808435
Provider Name (Legal Business Name): AZHIN O QADIR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NE SAINT LUKES BLVD
LEES SUMMIT MO
64086-6000
US

IV. Provider business mailing address

100 NE SAINT LUKES BLVD
LEES SUMMIT MO
64086-6000
US

V. Phone/Fax

Practice location:
  • Phone: 816-347-4912
  • Fax:
Mailing address:
  • Phone: 816-347-4912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2022041804
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: