Active NPI
Wassim Ayoub, RPH
- Pharmacist
- Tualatin, OR
National Provider Identifier
1649544883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10022
- Practice address
- 19200 SW Martinazzi Ave
Tualatin, OR 97062-6357 - Phone
- (503) 691-4223
- Fax
- (503) 691-4220
- NPI assigned
- Mar 6, 2012
- Last updated
- Mar 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10022 | OR | Primary |
Addresses
Primary practice location
19200 SW Martinazzi Ave
Tualatin, OR 97062-6357
Mailing address
19200 SW Martinazzi Ave
Tualatin, OR 97062
Phone (503) 750-7787
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10022 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1649544883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19200 SW MARTINAZZI AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "97062",
"telephone_number": "503-750-7787",
"fax_number": "503-691-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19200 SW MARTINAZZI AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970626357",
"telephone_number": "503-691-4223",
"fax_number": "503-691-4220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYOUB",
"first_name": "WASSIM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "10022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.