Andrew Abdalla
Individual provider Active NPI Pharmacist · New Port Richey, FL
NPI 1366027146 · NPPES record last updated Mar 13, 2021
Key facts
- NPI
- 1366027146
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS62049 (FL)
- Practice address
- 4726 Marine Pkwy Apt 103
New Port Richey, FL 34652-3336 - Phone
- (917) 244-2531
- NPI assigned
- Mar 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS62049 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS62049 | FL | Yes |
Addresses
Primary practice location
4726 Marine Pkwy Apt 103
New Port Richey, FL 34652-3336
Mailing address
4726 Marine Pkwy Apt 103
New Port Richey, FL 34652-3336
Phone (917) 244-2531
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.