Individual provider Active NPI

Ahmad Omar Zenabeden, PHARMD

  • Pharmacist
  • Plano, TX
National Provider Identifier
1730891458
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64884 Issued in TX
Practice address
4031 W Plano Pkwy
Plano, TX 75093-5619
Phone
(972) 369-8990
Fax
(877) 396-1906
NPI assigned
Dec 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64884 TX Primary

Addresses

Primary practice location

4031 W Plano Pkwy
Plano, TX 75093-5619

Mailing address

4031 W Plano Pkwy
Plano, TX 75093-5619
Phone (972) 369-8990

Other identifiers 1

IdentifierTypeStateIssuer
1992414411OtherTXPHARMACY TAXONOMY

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://www.childrenandfamilies.org/
CONNECT URL https://www.childrenandfamilies.org/

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
64884TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1730891458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935619",
            "telephone_number": "972-369-8990",
            "fax_number": "877-396-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935619",
            "telephone_number": "972-369-8990",
            "fax_number": "877-396-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENABEDEN",
        "first_name": "AHMAD OMAR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "64884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TAXONOMY",
            "identifier": "1992414411",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.childrenandfamilies.org/",
            "affiliation": "N",
            "address_1": "4031 W Plano Pkwy",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.childrenandfamilies.org/",
            "affiliation": "N",
            "address_1": "4031 W Plano Pkwy",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.