Individual provider Active NPI

Duaa Elamin, RPH

  • Pharmacist
  • Lake Havasu City, AZ
National Provider Identifier
1659987188
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S024568 Issued in AZ
Practice address
75 Lake Havasu Ave N
Lake Havasu City, AZ 86403-5651
Phone
(928) 854-6300
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S024568 AZ Primary

Addresses

Primary practice location

75 Lake Havasu Ave N
Lake Havasu City, AZ 86403-5651

Mailing address

1825 Los Lagos Cir
Lake Havasu City, AZ 86403-6653
Phone (714) 331-0309

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

LicenseStateTypeSpecialty
S024568AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionmedmd LLC Current Accepting new patients
Arizona CVS Stores Current Accepting new patients

Locations

75 Lake Havasu Ave N
Lake Havasu City, AZ 86403
Phone (928) 854-6300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1659987188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOS LAGOS CIR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036653",
            "telephone_number": "714-331-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LAKE HAVASU AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035651",
            "telephone_number": "928-854-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAMIN",
        "first_name": "DUAA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.