Individual provider Active NPI

Yousef Abuesheh

  • Pharmacist
  • Ardmore, OK
National Provider Identifier
1679174163
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14865 Issued in OK
Practice address
1715 N Commerce St
Ardmore, OK 73401-1535
Phone
(469) 360-8990
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 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 14865 OK Primary

Addresses

Primary practice location

1715 N Commerce St
Ardmore, OK 73401-1535

Mailing address

2219 S Rockford Pkwy
Ardmore, OK 73401-3031
Phone (469) 360-8990

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

LicenseStateTypeSpecialty
14865OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Baha Al Deen Abuesheh MD PC Current Accepting new patients
Primecare Family Clinic LLC Current Accepting new patients

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, 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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1679174163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 S ROCKFORD PKWY",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013031",
            "telephone_number": "469-360-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011535",
            "telephone_number": "469-360-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUESHEH",
        "first_name": "YOUSEF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.