Individual provider Active NPI

Dawood Rassam, RPH

  • Pharmacist
  • Little Rock, AR
National Provider Identifier
1669813713
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
C14966 Issued in AR
Practice address
1521 Merrill Dr Ste D220
Little Rock, AR 72211-1654
Phone
(501) 660-6897
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68434 CA
Pharmacist 183500000X C14966 AR Primary
Pharmacist 183500000X 63428 TX

Addresses

Primary practice location

1521 Merrill Dr Ste D220
Little Rock, AR 72211-1654

Mailing address

PO Box 242438
Little Rock, AR 72223-0025
Phone (619) 569-0120

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
68434CAMDClinical Social Worker
C14966ARMDPharmacist
63428TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyf Pharmacy, LLC Current Accepting new patients
Cyf Pharmacy, LLC Current Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Locations

1521 Merrill Dr
Ste D220
Little Rock, AR 72211
Phone (501) 660-6893

Organizations & group practices 4

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1669813713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242438",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230025",
            "telephone_number": "619-569-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 MERRILL DR STE D220",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111654",
            "telephone_number": "501-660-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASSAM",
        "first_name": "DAWOOD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68434",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "C14966",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.