Active NPI
Juliet Mbabazi
- Pharmacist
- Upper Darby, PA
National Provider Identifier
1710434014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439700
- Practice address
- 250 Beverly Blvd Apt G16
Upper Darby, PA 19082-4536 - Phone
- (484) 684-8357
- NPI assigned
- Sep 2, 2016
- 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 | RP439700 | PA | Primary |
Addresses
Primary practice location
250 Beverly Blvd Apt G16
Upper Darby, PA 19082-4536
Mailing address
494 Nutt Rd
Phoenixville, PA 19460-3354
Phone (610) 933-2798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP439700 | Other | PA | PHARMACY |
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 |
|---|---|---|---|
| RP439700 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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 and National Provider Directory roles.
-
- Pharmacy
- Phoenixville, PA
- NPI 1992940795
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1710434014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 NUTT RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194603354",
"telephone_number": "610-933-2798",
"fax_number": "610-935-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BEVERLY BLVD APT G16",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190824536",
"telephone_number": "484-684-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBABAZI",
"first_name": "JULIET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "RP439700",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.