Active NPI
Yousef Agaybi
- Pharmacist
- Milton, WV
National Provider Identifier
1659814804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0009955
- Practice address
- 1010 S Main St
Milton, WV 25541-1220 - Phone
- (304) 743-7912
- NPI assigned
- Nov 21, 2016
- Last updated
- Nov 21, 2016
- 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 | RP0009955 | WV | Primary |
Addresses
Primary practice location
1010 S Main St
Milton, WV 25541-1220
Mailing address
1010 S Main St
Milton, WV 25541-1220
Phone (304) 743-7912
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0009955 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Mary LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1659814804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S MAIN ST",
"city": "MILTON",
"state": "WV",
"postal_code": "255411220",
"telephone_number": "304-743-7912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S MAIN ST",
"city": "MILTON",
"state": "WV",
"postal_code": "255411220",
"telephone_number": "304-743-7912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGAYBI",
"first_name": "YOUSEF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.