Aya Abbas Bedair, PHARMACIST RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

82711 Issued in CA

Practice address

75 N Broadway
Chula Vista, CA 91910-1417

Phone

(619) 691-0873

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aya Assem Omar Khatab Abbas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Eldahmy Wellness Pharmacy Inc.

  • Long Term Care Pharmacy
  • San Diego, CA
  • NPI 1003374554
  NPD (past)
• Eldahmy Wellness Pharmacy Inc.

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1184139834
  NPD (past)

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1124614151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101417",
            "telephone_number": "619-691-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101417",
            "telephone_number": "619-691-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDAIR",
        "first_name": "AYA",
        "middle_name": "ABBAS",
        "credential": "PHARMACIST RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "82711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY",
            "identifier": "82711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYA",
            "last_name": "ABBAS",
            "middle_name": "ASSEM OMAR KHATAB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Becerra Aguilar
• Anysabel Becerra
• Angel Becerril
• Mason Beck
• Lloyd Beckwith, PH.D.
• Luis A Bedoya, M.D.
• Bee Mobile, Inc
• Joanna Beer
• Behnam Majd DDS Inc
• Manuel Moldero Belandres

• Community/Retail Pharmacy in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.