MEDICARE: ANEELA ABDUL RASOOL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	1122100	KS

General Provider Information

NPI Number	:	1407703945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANEELA ABDUL RASOOL

Provider Business Mailing Address
First Line	:	11121 W 76TH TER APT 2136
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66214-2902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11121 W 76TH TER APT 2136
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66214-2902
Country	:	US
Telephone Number	:	502-876-3891
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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