Active NPI
Maryam R Abdulrazzaq
- Pharmacist
- Melissa, TX
National Provider Identifier
1699646190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75928
- Practice address
- 1950 McKinney St
Melissa, TX 75454-9957 - Phone
- (191) 841-3729
- NPI assigned
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75928 | TX | Primary |
Addresses
Primary practice location
1950 McKinney St
Melissa, TX 75454-9957
Mailing address
5589 Jameson Xing
Fairview, TX 75069-6815
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
| License | State | Type | Specialty |
|---|---|---|---|
| 75928 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1699646190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5589 JAMESON XING",
"city": "FAIRVIEW",
"state": "TX",
"postal_code": "750696815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 MCKINNEY ST",
"city": "MELISSA",
"state": "TX",
"postal_code": "754549957",
"telephone_number": "191-841-3729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULRAZZAQ",
"first_name": "MARYAM",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "75928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melissa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.