Active NPI
Maryam Aldabbagh, PHARMD
- Pharmacist
- Tucson, AZ
National Provider Identifier
1851980510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025012
- Practice address
- 6488 N Oracle Rd
Tucson, AZ 85704-5620 - Phone
- (520) 297-8397
- NPI assigned
- Jan 15, 2021
- Last updated
- Feb 25, 2021
- Sex
- Female
- 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 | S025012 | AZ | Primary |
Addresses
Primary practice location
6488 N Oracle Rd
Tucson, AZ 85704-5620
Mailing address
3633 N Tyndall Ave
Tucson, AZ 85719-1638
Phone (520) 345-6114
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S025012 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1851980510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3633 N TYNDALL AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857191638",
"telephone_number": "520-345-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6488 N ORACLE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045620",
"telephone_number": "520-297-8397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDABBAGH",
"first_name": "MARYAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.