Samer Radwan Kabbara, PHARMD

Primary specialty

Clinical Pharmacology PhysicianTaxonomy code 208U00000X

License

03127446 Issued in OH

Practice address

305 W Bridge St
Dublin, OH 43017-2124

Phone

(614) 889-6530

NPI assigned

Dec 6, 2020

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Ohio CVS Stores LLC

  • Pharmacy
  • Dublin, OH
  • NPI 1558464206
  NPD (past)
• Ohio CVS Stores, L.L.C.

  • Pharmacy
  • Woodmere, OH
  • NPI 1922736305
  NPD (past)

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1093311037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 WILHOIT AVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357932",
            "telephone_number": "832-641-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W BRIDGE ST",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172124",
            "telephone_number": "614-889-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBARA",
        "first_name": "SAMER",
        "middle_name": "RADWAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "OH",
            "license": "03127446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaina Jurica, OTR/L
• Daniel Justice
• Suzanne K Justice
• K Wallace LLC
• Djama Kaba
• Anne Miller Kackley, DDS
• Alexandra H Kadlubowski, OTD, OTR/L
• Michelle Kaide
• Madeline Kaifas, DPT
• Cortney Kaiser

• Clinical Pharmacology Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Clinical Pharmacology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.