Active NPI
Aghead Aboud
- Pharmacist
- Pueblo, CO
National Provider Identifier
1093371239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA0022666
- Practice address
- 2900 W Northern Ave
Pueblo, CO 81005-2315 - Phone
- (719) 561-9728
- NPI assigned
- May 14, 2019
- Last updated
- May 14, 2019
- Sex
- Male
- Sole proprietor
- No
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 | PHA0022666 | CO | Primary |
Addresses
Primary practice location
2900 W Northern Ave
Pueblo, CO 81005-2315
Mailing address
2900 W Northern Ave
Pueblo, CO 81005-2315
Phone (719) 561-9728
Other practice location 1
2900 W Northern Ave
Pueblo, CO 81005-2315
Phone (719) 561-9728
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 |
|---|---|---|---|
| PHA0022666 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1093371239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 W NORTHERN AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052315",
"telephone_number": "719-561-9728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W NORTHERN AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810052315",
"telephone_number": "719-561-9728"
}
],
"practiceLocations": [
{
"address_1": "2900 W Northern Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810052315",
"country_code": "US",
"telephone_number": "719-561-9728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABOUD",
"first_name": "AGHEAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA0022666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
- Aberdeen Ambulatory Surgical Center, LLC
- Hayley Justine Abernathy, LPC
- Barbara Abeyta, PTA
- Emory Paul Abeyta
- Abode Healthcare Colorado, Inc (Abode Hospice of Pueblo)
- About Kids Home Care North LLC (About Kids Home Health Care)
- About Kids Home Care, LLC
- About Kids Home Care, LLC
- About Kids Ihss LLC (About Kids and Adults Too)
- Ashley Abrahamson, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.