Alaa Abdul Ghani
Individual provider Active NPI Pharmacist · Orlando, FL
NPI 1497437214 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1497437214
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS66002 (FL)
- Practice address
- 3502 Edgewater Dr
Orlando, FL 32804-2922 - Phone
- (407) 245-1001
- NPI assigned
- Aug 1, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS66002 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past |
Accepting new patients | |
| Holiday CVS LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | PS66002 | FL | Yes |
Addresses
Primary practice location
3502 Edgewater Dr
Orlando, FL 32804-2922
Mailing address
3502 Edgewater Dr
Orlando, FL 32804-2922
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. 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.