Aisha Abuhanak, PHARMD,RPH
Individual provider Active NPI Pharmacist · Wyncote, PA
NPI 1437889656 · NPPES record last updated Jun 11, 2022
Key facts
- NPI
- 1437889656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP455896 (PA)
- Practice address
- 2450 Shoppers LN
Wyncote, PA 19095-2960 - Phone
- (267) 628-3281
- NPI assigned
- Jun 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP455896 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past |
Accepting new patients | |
| Pennsylvania CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP455896 | PA | Yes |
Addresses
Primary practice location
2450 Shoppers LN
Wyncote, PA 19095-2960
Mailing address
2450 Shoppers LN
Wyncote, PA 19095-2960
Phone (267) 628-3281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP455896 | Other | PA | BOARD OF PHARMACY |
Other providers in Wyncote, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2022. 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.