NPIMap

Individual provider Active NPI

Michael Ghabour

  • Pharmacist
  • Bakersfield, CA
National Provider Identifier
1306235791
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71462 Issued in CA
Practice address
5301 Young St
Bakersfield, CA 93311-8978
Phone
(661) 377-3333
NPI assigned
Jan 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71462 CA Primary
Pharmacist 183500000X 18419 AL

Addresses

Primary practice location

5301 Young St
Bakersfield, CA 93311-8978

Mailing address

3617 Pueblo CT
Bakersfield, CA 93311-2703
Phone (661) 247-9675

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

State licenses

LicenseStateTypeSpecialty
71462CAMDClinical Social Worker
18419ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Pharmacy LLC Past Accepting new patients
Wedgewood Pharmacy LLC PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1306235791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 PUEBLO CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933112703",
            "telephone_number": "661-247-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 YOUNG ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118978",
            "telephone_number": "661-377-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHABOUR",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71462",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "18419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.