Provider Demographics
NPI:1962938159
Name:ALEW, BASHIR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BASHIR
Middle Name:
Last Name:ALEW
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 SW DEER RUN CT
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-7829
Mailing Address - Country:US
Mailing Address - Phone:816-824-7220
Mailing Address - Fax:
Practice Address - Street 1:7701 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2364
Practice Address - Country:US
Practice Address - Phone:913-648-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-07
Last Update Date:2017-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-15415183500000X
MO2011024486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist