Donna F Aitoumeziane, RPH
Individual provider Active NPI Pharmacist · Rogers, AR
NPI 1760085161 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1760085161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD10873 (AR)
- Practice address
- 2252 N 8TH St Ste a
Rogers, AR 72756-2842 - Phone
- (479) 621-9188
- NPI assigned
- Nov 18, 2020
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD10873 | AR | MD | Pharmacist |
| PS21320 | FL | MD | Pharmacist |
| 14493 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14493 | GA | |
| Pharmacist | 183500000X | PS21320 | FL | |
| Pharmacist | 183500000X | PD10873 | AR | Yes |
Addresses
Primary practice location
2252 N 8TH St Ste a
Rogers, AR 72756-2842
Mailing address
2252 N 8TH St Ste a
Rogers, AR 72756-2842
Phone (479) 621-9188
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. 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.