Nour Abuzaidieh
Individual provider Active NPI Pharmacist · Griffin, GA
NPI 1669020566 · NPPES record last updated Sep 4, 2019
Key facts
- NPI
- 1669020566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 027967 (GA)
- Practice address
- 601 S 8TH St
Griffin, GA 30224-4213 - Phone
- (770) 229-6910
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027967 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 027967 | GA | Yes |
Addresses
Primary practice location
601 S 8TH St
Griffin, GA 30224-4213
Mailing address
601 S 8TH St
Griffin, GA 30224-4213
NPI Registry JSON
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1669020566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244213",
"telephone_number": "770-229-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUZAIDIEH",
"first_name": "NOUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "027967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.