Abdulraheem Malik

Primary specialty

PharmacistTaxonomy code 183500000X

License

26023089A Issued in IN

Practice address

2811 Holmans LN
Jeffersonville, IN 47130-5915

Phone

(812) 288-9287

NPI assigned

Sep 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1376158972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 MCCLURE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411711",
            "telephone_number": "502-888-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 HOLMANS LN",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305915",
            "telephone_number": "812-288-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ABDULRAHEEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023089A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JEFFERSONVILLE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2811 Holmans Ln",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471305915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roberto Miguel Magallanez, LCSW, LCAC
• Icsah Maginn, RBT
• Diamond Mahdi, RBT
• Allison Valiquett Maher, APRN
• Johana Maldonado
• Brenna Shae Malone, BS
• Micheal Malone
• Ryan J Malone, M.D.
• Anitha Mandadapu, M.D
• Donna S Mann, MSW, LCSW

• Pharmacist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.