Angela Abourjaily, PHARMD
Individual provider Active NPI Pharmacist · Brockton, MA
NPI 1144503582 · NPPES record last updated Oct 24, 2012
Key facts
- NPI
- 1144503582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH233706 (MA)
- Practice address
- 25 Oak St Ext
Brockton, MA 02301-1110 - Phone
- (508) 897-1739
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| PH233706 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH233706 | MA | Yes |
Addresses
Primary practice location
25 Oak St Ext
Brockton, MA 02301-1110
Mailing address
25 Oak St Ext
Brockton, MA 02301-1110
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2012. 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.