Active NPI
Mustafa Alrubaye
- Pharmacist
- Antioch, TN
National Provider Identifier
1790495265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000046537
- Practice address
- 1609 Highwater Dr
Antioch, TN 37013-2953 - Phone
- (615) 482-4497
- NPI assigned
- Nov 24, 2022
- Sex
- Male
- 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 | 0000046537 | TN | Primary |
Addresses
Primary practice location
1609 Highwater Dr
Antioch, TN 37013-2953
Mailing address
1609 Highwater Dr
Antioch, TN 37013-2953
Phone (615) 482-4497
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 |
|---|---|---|---|
| 0000046537 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669248000000",
"number": "1790495265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 HIGHWATER DR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370132953",
"telephone_number": "615-482-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 HIGHWATER DR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370132953",
"telephone_number": "615-482-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALRUBAYE",
"first_name": "MUSTAFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-24",
"last_updated": "2022-11-24",
"certification_date": "2022-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000046537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.