Active NPI
Rabah RX Inc
Doing business as Woodbridge Pharmacy
- Community/Retail Pharmacy
- Edgewood, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P05531
- Legal business name
- RABAH RX INC
- Doing business as
- Woodbridge Pharmacy
- Practice address
- 1812 Pulaski Hwy Ste J
Edgewood, MD 21040-1603 - Phone
- (410) 612-0019
- Fax
- (410) 612-0038
- NPI assigned
- Feb 20, 2011
- Last updated
- Apr 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammed Yousuf, B. PHARM
- Title
- Pharmacist /Pharmacy Manager
- Phone
- (443) 417-5749
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P05531 | MD | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1812 Pulaski Hwy Ste J
Edgewood, MD 21040-1603
Mailing address
1812 Pulaski Hwy Ste J
Edgewood, MD 21040-1603
Phone (410) 612-0019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2129970 | Other | PK |
Other names 1
- Woodbridge Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201214003015 | MD | Part B Supplier - Pharmacy | 3274945365 | Practice locations: Edgewood, MD |
National Provider Directory
National Provider DirectoryLocations
1812 Pulaski Hwy
Ste J
Edgewood, MD 21040
Phone (410) 612-0019
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Forest Hill, MD
- NPI 1275351777
-
- Pharmacist
- Bel Air, MD
- NPI 1497574008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556582400000",
"number": "1790082170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 PULASKI HWY STE J",
"city": "EDGEWOOD",
"state": "MD",
"postal_code": "210401603",
"telephone_number": "410-612-0019",
"fax_number": "410-612-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 PULASKI HWY STE J",
"city": "EDGEWOOD",
"state": "MD",
"postal_code": "210401603",
"telephone_number": "410-612-0019",
"fax_number": "410-612-0038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RABAH RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-20",
"last_updated": "2019-04-30",
"status": "A",
"authorized_official_last_name": "YOUSUF",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_title_or_position": "PHARMACIST /PHARMACY MANAGER",
"authorized_official_telephone_number": "443-417-5749",
"authorized_official_credential": "B. PHARM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P05531",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2129970",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodbridge Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Woodbridge Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edgewood, MD
- Project Chesapeake, LLC
- Project Chesapeake, LLC
- Project Chesapeake, LLC
- Project Chesapeake, LLC
- Quadmed Management, LLC
- Rafiq Patel M D P a
- Earnest Russell Reaves, LCPC
- Reclaim and Restore Healing Company (R&R Healing Co.)
- Reclaim and Restore Healing Company (R&R Healing Co.)
- Sharon Elaine Reynolds Lundgren, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.