CMS-1500 Box 24J / 33a • NPI
1790460418
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
183500000X
Licensed & Credentialed Pharmacist
Box 32 Service Location & ZIP+4
22350 S HARRISON ST, SPRING HILL, KS, 66083-3148
✓ 9-Digit EDI 837 ZIP+4 (66083-3148)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790460418 (SONIA EBRAHIMI, RPH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790460418 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | SONIA EBRAHIMI, RPH |
| Plain-English Specialty | Licensed & Credentialed Pharmacist NUCC Code: 183500000X (Pharmacist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 22350 S HARRISON ST, SPRING HILL, KS, 66083-3148 |
| Practice Telephone / Fax | Tel: (913) 592-5350 |
| Administrative Mailing Address | 7907 W 155TH TER, OVERLAND PARK, KS, 66223-3078 |
| Enumeration & Last Sync | Enumerated: 2023-06-20 | CMS Record Updated: 2023-06-20 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (183500000X)
What Does Taxonomy Code 183500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183500000X translates to:
"Licensed & Credentialed Pharmacist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SONIA EBRAHIMI, RPH)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
183500000X — PharmacistPlain English: Licensed & Credentialed Pharmacist | State: KS | License: 3-103796 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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