Individual provider Active NPI

Reem Wagih Abdo

  • Pharmacist
  • Huntsville, TX
National Provider Identifier
1053089672
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68411 Issued in TX
Practice address
141 Interstate 45 S
Huntsville, TX 77340-4243
Phone
(936) 295-3041
NPI assigned
Aug 30, 2021
Last updated
Jan 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68411 TX Primary

Addresses

Primary practice location

141 Interstate 45 S
Huntsville, TX 77340-4243

Mailing address

24539 Jenns Creek CT
Spring, TX 77389-1704
Phone (424) 465-4025

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connexus

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
68411TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673740800000",
    "number": "1053089672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24539 JENNS CREEK CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891704",
            "telephone_number": "424-465-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 INTERSTATE 45 S",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404243",
            "telephone_number": "936-295-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDO",
        "first_name": "REEM",
        "middle_name": "WAGIH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connexus",
            "affiliation": "N",
            "address_1": "141 Interstate 45 S",
            "city": "Huntsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773404243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.