Samar Abouelella, PHARD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302031052 Issued in MI

Practice address

135 S Prospect St
Ypsilanti, MI 48198-7914

Phone

(734) 547-4720

NPI assigned

Jul 1, 2020

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

Other names 1

• Samar Abou-El-Ella Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1346867728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 LENOX DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881594",
            "telephone_number": "313-544-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S PROSPECT ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481987914",
            "telephone_number": "734-547-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUELELLA",
        "first_name": "SAMAR",
        "credential": "PHARD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302031052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "selella@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "414 Lenox Dr",
            "city": "Canton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481881594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMAR",
            "last_name": "ABOU-EL-ELLA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.