Individual provider Active NPI

Marina Saber Dawoud, PHARMD

  • Pharmacist
  • Gaffney, SC
National Provider Identifier
1558968016
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42373 Issued in SC
Practice address
165 Walton Dr
Gaffney, SC 29341-1268
Phone
(864) 487-3769
NPI assigned
Oct 7, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42373 SC Primary

Addresses

Primary practice location

165 Walton Dr
Gaffney, SC 29341-1268

Mailing address

121 Caledon CT
Greenville, SC 29615-3129
Phone (864) 553-3440

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gaffney Direct

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
42373SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1558968016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CALEDON CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153129",
            "telephone_number": "864-553-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WALTON DR",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293411268",
            "telephone_number": "864-487-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWOUD",
        "first_name": "MARINA",
        "middle_name": "SABER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gaffney",
            "affiliation": "N",
            "endpointDescription": "Walmart Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "165 Walton Dr",
            "city": "Gaffney",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293411268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.