Individual provider Active NPI

Yusuf A Alsharkawy

  • Student in an Organized Health Care Education/Training Program
  • Owensboro, KY
National Provider Identifier
1154883577
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
I14149 Issued in KY
Practice address
2308 Highway 144
Owensboro, KY 42303-0175
Phone
(270) 926-7751
NPI assigned
Apr 3, 2019
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X I14149 KY Primary

Addresses

Primary practice location

2308 Highway 144
Owensboro, KY 42303-0175

Mailing address

2119 E 19TH St
Owensboro, KY 42303-1218
Phone (270) 244-7250

Other identifiers 1

IdentifierTypeStateIssuer
I14149OtherKYPHARMACY INTERN LICENSE

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

LicenseStateTypeSpecialty
I14149KYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1154883577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 E 19TH ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031218",
            "telephone_number": "270-244-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 HIGHWAY 144",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030175",
            "telephone_number": "270-926-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSHARKAWY",
        "first_name": "YUSUF",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "I14149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY INTERN LICENSE",
            "identifier": "I14149",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.