Active NPI
Ayman G Ghattas
- Pharmacist
- Denton, TX
National Provider Identifier
1043959737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69921
- Practice address
- 1592 S Loop 288
Denton, TX 76205-4730 - Phone
- (940) 566-5252
- NPI assigned
- Jun 1, 2022
- Last updated
- Jun 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69921 | TX | Primary |
Addresses
Primary practice location
1592 S Loop 288
Denton, TX 76205-4730
Mailing address
3529 Beekman Dr
Fort Worth, TX 76244-9429
Phone (816) 267-1905
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69921 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas L P | Past | Accepting new patients | |
| Kroger Texas LP | Past | Accepting new patients |
Organizations & group practices 2
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": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1043959737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3529 BEEKMAN DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449429",
"telephone_number": "816-267-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1592 S LOOP 288",
"city": "DENTON",
"state": "TX",
"postal_code": "762054730",
"telephone_number": "940-566-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHATTAS",
"first_name": "AYMAN",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.