Shady Ayoub

Primary specialty

PharmacistTaxonomy code 183500000X

License

73711 Issued in TX

Practice address

6420 82ND St
Lubbock, TX 79424-0804

Phone

(806) 783-9041

NPI assigned

Mar 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Walgreen Co.

  • Pharmacy
  • Lubbock, TX
  • NPI 1033129283
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1194584805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 82ND ST APT 1216",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246761",
            "telephone_number": "806-544-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240804",
            "telephone_number": "806-783-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "SHADY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "73711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim Anderson Axe, D.D.S.
• Gabriel Axelrud, M.D.
• Axiom Health and Wellness, LLC
• Sarah Ayers, PHARMD
• Ayman Karkoutly, M.D., PA
• Andrew P Azab, D.C.
• Ashot Azatian, MD
• Mahnoor Azmat, MD
• Clark Azubuike, MD MPH
• Steve Azzinaro, ASCP

• Pharmacist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.