Active NPI
Dawood Rassam, RPH
- Pharmacist
- Little Rock, AR
National Provider Identifier
1669813713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C14966
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 68434 | CA | MD | Clinical Social Worker |
| C14966 | AR | MD | Pharmacist |
| 63428 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Long Term Care Pharmacy
- Little Rock, AR
- NPI 1588362545
-
- Community/Retail Pharmacy
- Little Rock, AR
- NPI 1922643006
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- El Cajon, CA
- NPI 1710998190
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.