Active NPI
Ghada Banoub, RPH
- Pharmacist
- Toledo, OH
National Provider Identifier
1366690117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03221512
- Practice address
- 114 S Byrne Rd
Toledo, OH 43615-6213 - Phone
- (419) 535-0069
- Fax
- (419) 535-3212
- NPI assigned
- Sep 5, 2008
- Last updated
- Sep 5, 2008
- Sex
- Female
- 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 | 03221512 | OH | Primary |
Addresses
Primary practice location
114 S Byrne Rd
Toledo, OH 43615-6213
Mailing address
2817 Spring Water Dr
Toledo, OH 43617-1369
Phone (419) 843-9550
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 |
|---|---|---|---|
| 03221512 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1366690117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 SPRING WATER DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171369",
"telephone_number": "419-843-9550",
"fax_number": "419-841-9550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 S BYRNE RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436156213",
"telephone_number": "419-535-0069",
"fax_number": "419-535-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANOUB",
"first_name": "GHADA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03221512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.