Abraham Wardak

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

03440889 Issued in OH

Practice address

887 N Bridge St
Chillicothe, OH 45601-1704

Phone

(740) 775-8467

Fax

(740) 774-2570

NPI assigned

Aug 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Chillicothe, OH
  • NPI 1275567976
  NPD
• Kroger Co

  dba Kroger Drugstore #622

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1629706668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 N BRIDGE ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011704",
            "telephone_number": "740-775-8467",
            "fax_number": "740-774-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 N BRIDGE ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456011704",
            "telephone_number": "740-775-8467",
            "fax_number": "740-774-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDAK",
        "first_name": "ABRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03440889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Lynn Ward, NP
• Stacee Ward, RN
• Summer Dawn Ward
• Traci Renae Ward, LPN
• Walter Kyle Ward
• Mary F Ware
• Nicole Warner
• Noah Jacob Warner
• Connie J. Warren, M.D.
• Jessica Warth, SWA, REV, M.A

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.