Active NPI
David C Abdoo, RPH
- Pharmacist
- Monticello, NY
National Provider Identifier
1265990956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 064769
- Practice address
- 381 Broadway
Monticello, NY 12701 - Phone
- (845) 791-1301
- NPI assigned
- Mar 12, 2019
- Last updated
- Jun 28, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 064769 | NY | Primary |
Addresses
Primary practice location
381 Broadway
Monticello, NY 12701
Mailing address
75 Davos PT
Woodridge, NY 12789-5907
Phone (518) 429-5527
Other practice location 1
1934 Route 52
Liberty, NY 12754-8310
Phone (845) 292-4114
Other practice location 2
1934 Route 52
Liberty, NY 12754-8310
Phone (845) 292-4114
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 |
|---|---|---|---|
| 064769 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1265990956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 DAVOS PT",
"city": "WOODRIDGE",
"state": "NY",
"postal_code": "127895907",
"telephone_number": "518-429-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 BROADWAY",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "12701",
"telephone_number": "845-791-1301"
}
],
"practiceLocations": [
{
"address_1": "1934 Route 52",
"address_purpose": "LOCATION",
"city": "Liberty",
"state": "NY",
"postal_code": "127548310",
"country_code": "US",
"telephone_number": "845-292-4114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1934 Route 52",
"address_purpose": "LOCATION",
"city": "Liberty",
"state": "NY",
"postal_code": "127548310",
"country_code": "US",
"telephone_number": "845-292-4114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDOO",
"first_name": "DAVID",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-12",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "064769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.