Omar Allibhai, PHARMD, RPH
Individual provider Active NPI Pharmacist · Waltham, MA
NPI 1003406935 · NPPES record last updated Jan 25, 2021
Key facts
- NPI
- 1003406935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH234184 (MA)
- Practice address
- 577 Main St
Waltham, MA 02452-5527 - Phone
- (781) 893-3870
- Fax
- (781) 899-1172
- NPI assigned
- Jan 25, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH234184 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH234184 | MA | Yes |
Addresses
Primary practice location
577 Main St
Waltham, MA 02452-5527
Mailing address
8 Craig Rd
Framingham, MA 01701-7664
Phone (617) 899-0097
Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.