Marwan Awadalla

Primary specialty

PharmacistTaxonomy code 183500000X

License

071152 Issued in NY

Practice address

6242 Forest Ave
Ridgewood, NY 11385-1929

Phone

(718) 310-6120

Fax

(888) 518-5120

NPI assigned

Nov 21, 2023

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

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.

• Lumen Pharmacy Inc

  • Community/Retail Pharmacy
  • Ridgewood, NY
  • NPI 1558195024
  NPD Authorized official

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1194590935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6242 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851929",
            "telephone_number": "718-310-6120",
            "fax_number": "888-518-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851929",
            "telephone_number": "718-310-6120",
            "fax_number": "888-518-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADALLA",
        "first_name": "MARWAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "071152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ard RX Inc
• Arh Empire Corp
• Chirag Ashar
• Madeline Assarsson
• Yevgeniya Avezova, PHARMD
• Ayaan Pharmacy Inc.
• Iris Ayalin, PTA
• Lyse Aybar
• B-Home Care LLC
• Babak Behmanesh DDS PC

• All providers in Ridgewood, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.