Alaaeldin Aboumirah

Primary specialty

PharmacistTaxonomy code 183500000X

License

0015527 Issued in CT

Practice address

825 E Main St
Meriden, CT 06450-6064

Phone

(203) 238-0910

Fax

(203) 238-0881

NPI assigned

Dec 18, 2020

Last updated

Dec 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Walgreen Co

  dba Walgreen # 09820

  • Pharmacy
  • Meriden, CT
  • NPI 1730364134
  NPD
• Quality Pharmacy Corp

  dba compare quality pharmacy

  • Long Term Care Pharmacy
  • Worcester, MA
  • NPI 1497539332
  NPD
• Quality Pharmacy Corp

  dba Compare Quality Pharmacy

  • Community/Retail Pharmacy
  • Worcester, MA
  • NPI 1477851798
  NPD (past)

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1134715667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506064",
            "telephone_number": "203-238-0910",
            "fax_number": "203-238-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506064",
            "telephone_number": "203-238-0910",
            "fax_number": "203-238-0881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "664 Main St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016103124",
            "country_code": "US",
            "telephone_number": "508-755-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOUMIRAH",
        "first_name": "ALAAELDIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-18",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH239483",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0015527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Meriden, CT
• Providers in Meriden, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.