Individual provider Active NPI

Ayman Daaboul, RPH

  • Pharmacist
  • Lake Worth, FL
National Provider Identifier
1831341759
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0032059 Issued in FL
Practice address
6600 Hypoluxo Rd
Lake Worth, FL 33467-7676
Phone
(561) 964-7866
Fax
(561) 964-7887
NPI assigned
Oct 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0032059 FL Primary

Addresses

Primary practice location

6600 Hypoluxo Rd
Lake Worth, FL 33467-7676

Mailing address

5770 Coach House Cir Apt F
Boca Raton, FL 33486-8632
Phone (561) 361-4199

Other identifiers 1

IdentifierTypeStateIssuer
106333200MedicaidFL

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS0032059FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1831341759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 COACH HOUSE CIR APT F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334868632",
            "telephone_number": "561-361-4199",
            "fax_number": "561-964-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 HYPOLUXO RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677676",
            "telephone_number": "561-964-7866",
            "fax_number": "561-964-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAABOUL",
        "first_name": "AYMAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0032059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106333200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.