Jamal Aboulhosn (Sole Proprietor)

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P01589 Issued in KY

Legal business name

JAMAL ABOULHOSN (SOLE PROPRIETOR)

Doing business as

EAST BROADWAY PHARMACY

Practice address

2304 Hurstbourne Village Dr
Ste 700
Louisville, KY 40299-1853

Phone

(502) 589-1828

Fax

(502) 589-0263

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Jamal Aboulhosn, RPH

Title

Owner,Pic,Ao

Phone

(502) 419-3936

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EAST BROADWAY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1801990866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 HURSTBOURNE VILLAGE DR",
            "address_2": "STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991853",
            "telephone_number": "502-589-1828",
            "fax_number": "502-589-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 HURSTBOURNE VILLAGE DR",
            "address_2": "STE 700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991853",
            "telephone_number": "502-589-1828",
            "fax_number": "502-589-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAL ABOULHOSN (SOLE PROPRIETOR)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ABOULHOSN",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER,PIC,AO",
        "authorized_official_telephone_number": "502-419-3936",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P01589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54018379",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST BROADWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salgram Jaisinghani, MD
• Leah Jakopic, DPT, PT
• Alison Jaksetic
• Swetha Jalli, MD
• Mohamed Issah Jalloh, MD
• Hamza Jamal
• Rami Jambeih, MD
• Sajjad Jameel, MD
• James E Segal PLLC
• James F. Phifer, PH.D., P.S.C.

• Community/Retail Pharmacy in Louisville, KY
• Providers in Louisville, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.