Radwan C Jaber, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10438 Issued in MD

Practice address

121 Centerway
Greenbelt, MD 20770-1802

Phone

(301) 474-4400

Fax

(301) 474-4401

NPI assigned

Feb 9, 2012

Last updated

Feb 9, 2012By 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 2

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

• Greenbelt Consumer Cooperative Inc

  dba Co Op Pharmacy

  • Community/Retail Pharmacy
  • Greenbelt, MD
  • NPI 1730261520
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1659643476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VALLEY BEND CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765548",
            "telephone_number": "240-476-5451",
            "fax_number": "301-474-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CENTERWAY",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701802",
            "telephone_number": "301-474-4400",
            "fax_number": "301-474-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABER",
        "first_name": "RADWAN",
        "middle_name": "C",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "10438",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202007331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narasimham Iswara, MD
• Ivory Health Care Services
• Ivory Therapy Services (Ivory Health Care Services)
• Ixhale Wellness Center, LLC (Nandir Temlong)
• J Frank LLC
• Maxine Jackson-Strong
• Paula Jackson
• Sharryl Jackson
• Adenike Jacobs
• Kanchhedi L Jain, M.D.

• Pharmacist in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Pharmacist in Maryland

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

Verify at the official NPI Registry.