Individual provider Active NPI

Ehab M Abughazaleh

  • Pharmacist
  • Sugar Land, TX
National Provider Identifier
1013531615
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39366 Issued in TX
Practice address
13303 W Airport Blvd Ste a
Sugar Land, TX 77478-5800
Phone
(281) 277-1071
Fax
(281) 277-1075
NPI assigned
May 31, 2020
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39366 TX Primary

Addresses

Primary practice location

13303 W Airport Blvd Ste a
Sugar Land, TX 77478-5800

Mailing address

12144 Dairy Ashford Rd Ste 100
Sugar Land, TX 77478-6212

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.deliveritpharmacy.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
39366TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deliverit Pharmacy Inc. CurrentSince Jun 1, 2020 Accepting new patients
Deliverit Pharmacy Inc CurrentSince Jan 14, 2024 Accepting new patients
Deliverit Infusion and Specialty Clinic LLC Past Accepting new patients

Locations

12144 Dairy Ashford Rd
Ste 100
Sugar Land, TX 77478
Phone (346) 901-3093

13303 W Airport Blvd
Sugar Land, TX 77478
Phone (281) 277-1071

13303 W Airport Blvd
Ste A
Sugar Land, TX 77478
Phone (281) 277-1071

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1013531615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12144 DAIRY ASHFORD RD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 W AIRPORT BLVD STE A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785800",
            "telephone_number": "281-277-1071",
            "fax_number": "281-277-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUGHAZALEH",
        "first_name": "EHAB",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-31",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.deliveritpharmacy.com",
            "affiliation": "N",
            "address_1": "12144 Dairy Ashford Rd",
            "city": "Sugar Land",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774786211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.