Active NPI
Adam Eldhshoury, RPH
- Pharmacist
- Hayward, CA
National Provider Identifier
1437628294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79516
- Practice address
- 26059 Mission Blvd
Hayward, CA 94544-2538 - Phone
- (510) 886-2207
- NPI assigned
- Nov 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 79516 | CA | Primary |
Addresses
Primary practice location
26059 Mission Blvd
Hayward, CA 94544-2538
Mailing address
1467 Balhan Dr Apt 107
Concord, CA 94521-3754
Phone (415) 695-4863
Other names 1
- Ahmed Eldhshoury
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 |
|---|---|---|---|
| 79516 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
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.
-
- Pharmacy
- Hayward, CA
- NPI 1124425293
-
- Pharmacy
- Jurupa Valley, CA
- NPI 1780573113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1437628294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1467 BALHAN DR APT 107",
"city": "CONCORD",
"state": "CA",
"postal_code": "945213754",
"telephone_number": "415-695-4863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26059 MISSION BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945442538",
"telephone_number": "510-886-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDHSHOURY",
"first_name": "ADAM",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-21",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "79516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AHMED",
"last_name": "ELDHSHOURY",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.