Walaa Abdrabouh, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03054900 Issued in NJ

Practice address

1225 McBride Ave Ste 102
Woodland Park, NJ 07424-3813

Phone

(512) 617-7312

Fax

(512) 617-7313

NPI assigned

Sep 26, 2019

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tarrytown Expocare NJ, LLC

  • Long Term Care Pharmacy
  • Woodland Park, NJ
  • NPI 1669038162
  NPD

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1265083687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CROWN CT",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109777116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE STE 102",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243813",
            "telephone_number": "512-617-7312",
            "fax_number": "512-617-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDRABOUH",
        "first_name": "WALAA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03054900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "willette@tarrytownexpocare.com",
            "affiliation": "N",
            "address_1": "1225 McBride Ave Ste 102",
            "city": "Woodland Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074243813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "willette@tarrytownexpocare.com",
            "affiliation": "N",
            "address_1": "1225 McBride Ave Ste 102",
            "city": "Woodland Park",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074243813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Access Care Physicians of NJ LLC (Azura Vascular Care Woodland Park)
• Access Care Physicians of NJ LLC (Azura Surgery Center Woodland Park)
• Advanced All Family Dentistry & Implants Inc
• Advanced Foot Care of NJ LLC
• Advancing Opportunities, Inc.

• Pharmacist in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.