Individual provider Active NPI

Reem Sabe Abu Lubdeh, RPH

  • Pharmacist
  • Tracy, CA
National Provider Identifier
1831489814
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59745 Issued in CA
Practice address
599 East Valpico Rd
Tracy, CA 95376
Phone
(209) 830-0976
NPI assigned
Apr 12, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 59745 CA Primary

Addresses

Primary practice location

599 East Valpico Rd
Tracy, CA 95376

Mailing address

1101 Portola Meadows Rd
165
Livermore, CA 94551-6602
Phone (510) 508-5960

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
59745CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1831489814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PORTOLA MEADOWS RD",
            "address_2": "165",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945516602",
            "telephone_number": "510-508-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 EAST VALPICO RD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-830-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABU LUBDEH",
        "first_name": "REEM",
        "middle_name": "SABE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.