Jabra A Kamoua, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03440325 Issued in MI

Practice address

1601 W Sylvania Ave
Toledo, OH 43612-1532

Phone

(419) 246-7478

Fax

(419) 470-0702

NPI assigned

Nov 10, 2022

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

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 and National Provider Directory roles.

• Toledo Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1366725863
  NPD (past)
• Toledo Family Pharmacy Main St LLC

  • Community/Retail Pharmacy
  • Toledo, OH
  • NPI 1225581150
  NPD (past)

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1629786496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121532",
            "telephone_number": "419-246-7478",
            "fax_number": "419-470-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121532",
            "telephone_number": "419-246-7478",
            "fax_number": "419-470-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMOUA",
        "first_name": "JABRA",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "03440325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Kaminski, MSN, CNP-BC
• Adireddy Kamireddy, M.D.
• Brooklynn Kamm
• Gayle Kamm, PHARMD
• Joel Aaron Kammeyer, M.D.
• Andrea M Kamper, LSW
• Tarif Adel Kanaan, MD
• Alaa Kanan, RPH
• Walaa Jalal Kanan
• Angela Sue Kanavel

• Pharmacist in Toledo, OH
• Providers in Toledo, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.