Abdul Rhim Ghazali III, PHARMD
Individual provider Active NPI Pharmacist · Atoka, TN
NPI 1689355224 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1689355224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 47089 (TN)
- Practice address
- 11630 Highway 51 S
Atoka, TN 38004-7129 - Phone
- (901) 837-5000
- NPI assigned
- Jul 27, 2023
- Sex
- Male
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47089 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47089 | TN | Yes |
Addresses
Primary practice location
11630 Highway 51 S
Atoka, TN 38004-7129
Mailing address
11630 Highway 51 S
Atoka, TN 38004-7129
Phone (901) 837-5000
Other providers in Atoka, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. 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.