Abbas Abdalla
Individual provider Active NPI Pharmacist · Columbus, OH
NPI 1003473935 · NPPES record last updated May 27, 2019
Key facts
- NPI
- 1003473935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03230048 (OH)
- Practice address
- 2773 Cleveland Ave
Columbus, OH 43224-4408 - Phone
- (614) 591-3070
- NPI assigned
- May 27, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03230048 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinity Pharmacy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03230048 | OH | Yes |
Addresses
Primary practice location
2773 Cleveland Ave
Columbus, OH 43224-4408
Mailing address
2773 Cleveland Ave
Columbus, OH 43224-4408
Phone (614) 591-3070
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2019. 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.