Active NPI
Chadi Abdul Nour, R.PH , APH, CDE
- Pharmacist
- Phillips Ranch, CA
National Provider Identifier
1215022090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52504
- Practice address
- 42 Willowbrook LN
Phillips Ranch, CA 91766-4852 - Phone
- (626) 827-2835
- Fax
- (626) 261-4450
- NPI assigned
- Oct 4, 2006
- Last updated
- Jan 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 52504 | CA | Primary |
Addresses
Primary practice location
42 Willowbrook LN
Phillips Ranch, CA 91766-4852
Mailing address
42 Willowbrook LN
Phillips Ranch, CA 91766-4852
Phone (626) 827-2835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52504 | Other | CA | STATE PHARMACIST 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52504 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.V.a. Health LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1215022090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 WILLOWBROOK LN",
"city": "PHILLIPS RANCH",
"state": "CA",
"postal_code": "917664852",
"telephone_number": "626-827-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 WILLOWBROOK LN",
"city": "PHILLIPS RANCH",
"state": "CA",
"postal_code": "917664852",
"telephone_number": "626-827-2835",
"fax_number": "626-261-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDUL NOUR",
"first_name": "CHADI",
"name_prefix": "Dr.",
"credential": "R.PH , APH, CDE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "52504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "52504",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phillips Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.