Roua Riyad Dabal, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302041512 Issued in MI

Practice address

3669 W Maple Rd
Bloomfield Hills, MI 48301-3376

Phone

(248) 647-4900

NPI assigned

Sep 24, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• PNG RX Consulting LLC

  • Pharmacist
  • West Bloomfield, MI
  • NPI 1982344388
  NPD Authorized official
• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Bloomfield Hills, MI
  • NPI 1043226343
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1474675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474675200000",
    "number": "1407305089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 LAKE WIND DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241823",
            "telephone_number": "248-565-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3669 W MAPLE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013376",
            "telephone_number": "248-647-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAL",
        "first_name": "ROUA",
        "middle_name": "RIYAD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-24",
        "last_updated": "2016-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cricket
• Chad Brynly Cubberly, L.M.S.W.
• Denise Cummings, AUD
• Kate Lynette Cvetkovski
• Sandra Czarniecki
• Melaka Dabliz, RPH
• Harold J. Daitch, M.D.
• Darleen A Dalaly
• Lauren Anne Dalgleish
• Maxwell Dalloo

• Pharmacist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; 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.