Mugtaba Abdalla Eltayeb, PHARMD
Individual provider Active NPI Pharmacist · Aberdeen, NC
NPI 1104468768 · NPPES record last updated Oct 15, 2019
Key facts
- NPI
- 1104468768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28338 (NC)
- Practice address
- 1550 N Sandhills Blvd
Aberdeen, NC 28315-2304 - Phone
- (910) 944-0438
- NPI assigned
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28338 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past |
Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28338 | NC | Yes |
Addresses
Primary practice location
1550 N Sandhills Blvd
Aberdeen, NC 28315-2304
Mailing address
1550 N Sandhills Blvd
Aberdeen, NC 28315-2304
Phone (910) 944-0438
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All providers in Aberdeen, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.