Moataz T Abdelrazek, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

53029 Issued in TX

Practice address

203 US Loop 290 W
Brenham, TX 77833

Phone

(979) 830-1023

NPI assigned

Oct 30, 2020

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Moataz Tarek Abd-El-Razek Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores Texas, LLC

  dba Walmart Pharmacy 10-1484

  • Community/Retail Pharmacy
  • Melissa, TX
  • NPI 1386521797
  NPD (past)

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1548860372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 US LOOP 290 W",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "77833",
            "telephone_number": "979-830-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 US LOOP 290 W",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "77833",
            "telephone_number": "979-830-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELRAZEK",
        "first_name": "MOATAZ",
        "middle_name": "T",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOATAZ",
            "last_name": "ABD-EL-RAZEK",
            "middle_name": "TAREK",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Abshier, LPC/ NCC
• Acv Healthcare, Incorporated
• Cherie M Adams, NP
• Brianne Addicks, ANP
• Administrative Medical Associates Inc. (Ama Home Care, Inc.)

• Pharmacist in Brenham, TX
• Providers in Brenham, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.