Zaidat Soule-Abou

Primary specialty

PharmacistTaxonomy code 183500000X

License

26241 Issued in MD

Practice address

12154 Brittingham LN
Princess Anne, MD 21853-2212

Phone

(410) 651-1133

NPI assigned

Dec 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1043781636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12154 BRITTINGHAM LN",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218532212",
            "telephone_number": "410-651-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12154 BRITTINGHAM LN",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218532212",
            "telephone_number": "410-651-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30500 Hickory Rd Apt 308",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218533470",
            "country_code": "US",
            "telephone_number": "813-444-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOULE-ABOU",
        "first_name": "ZAIDAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-08",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "26241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Princess Anne, MD
• Providers in Princess Anne, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.