Rabiha Alathman, PHARMACIST
Individual provider Active NPI Pharmacist · Goodyear, AZ
NPI 1730858713 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1730858713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S013405 (AZ)
- Practice address
- 1515 N Litchfield Rd
Goodyear, AZ 85395-1237 - Phone
- (623) 935-3233
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S013405 | AZ | MD | Pharmacist |
| 13405 | AZ | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13405 | AZ | |
| Pharmacist | 183500000X | S013405 | AZ | Yes |
Addresses
Primary practice location
1515 N Litchfield Rd
Goodyear, AZ 85395-1237
Mailing address
1515 N Litchfield Rd
Goodyear, AZ 85395-1237
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. 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.