Individual provider Active NPI

Abdallah Abukhalil

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Cleveland, OH
National Provider Identifier
1326600396
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
03323964 Issued in OH
Practice address
7905 Euclid Ave
Cleveland, OH 44103-4226
Phone
(216) 721-1772
Fax
(216) 721-1778
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03323964 OH Primary

Addresses

Primary practice location

7905 Euclid Ave
Cleveland, OH 44103-4226

Mailing address

7905 Euclid Ave
Cleveland, OH 44103-4226
Phone (216) 721-1772

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
03323964OHMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Church Square Urgent Care LLC Current Accepting new patients
Church Square Pharmacy Inc. Past Accepting new patients
Church Square Pharmacy Inc. Past Accepting new patients

Organizations & group practices 3

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1326600396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034226",
            "telephone_number": "216-721-1772",
            "fax_number": "216-721-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034226",
            "telephone_number": "216-721-1772",
            "fax_number": "216-721-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUKHALIL",
        "first_name": "ABDALLAH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03323964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.