Majd Abedrabbo – Pharmacist in Clifton, NJ

Key facts

NPI: 1386255016
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 28RI03974000 (NJ)
Practice address: 1138 Main Ave
Clifton, NJ 07011-2331
Phone: (973) 773-5848
Fax: (973) 773-4790
NPI assigned: Aug 15, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Walgreen Co Pharmacy · Clifton, NJ · NPI 1548275431

NPD (past)
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

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
28RI03974000	NJ	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Walgreen Co		Past since Aug 23, 2020	Accepting new patients
Walgreen Co		Past since Aug 23, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	28RI03974000	NJ	Yes

Addresses

Primary practice location

1138 Main Ave
Clifton, NJ 07011-2331

Mailing address

1138 Main Ave
Clifton, NJ 07011-2331
Phone (973) 773-5848

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	@store.walgreens.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 15, 2020.

{
    "created_epoch": "1597449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597449600000",
    "number": "1386255016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112331",
            "telephone_number": "973-773-5848",
            "fax_number": "973-773-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112331",
            "telephone_number": "973-773-5848",
            "fax_number": "973-773-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDRABBO",
        "first_name": "MAJD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-15",
        "last_updated": "2020-08-15",
        "certification_date": "2020-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03974000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@store.walgreens.com",
            "affiliation": "N",
            "address_1": "1138 Main Ave",
            "city": "Clifton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070112331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton, NJ

All providers in Clifton, NJ · Pharmacist in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2020. 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.

Verify at the official NPI Registry.