Individual provider Active NPI

Yousef Trabouly, RPH

  • Pharmacist
  • San Francisco, CA
National Provider Identifier
1922433846
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69571 Issued in CA
Practice address
225 Bush St Ste 100
San Francisco, CA 94104-4251
Phone
(415) 365-0835
Fax
(415) 365-0845
NPI assigned
Sep 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69571 CA Primary

Addresses

Primary practice location

225 Bush St Ste 100
San Francisco, CA 94104-4251

Mailing address

225 Bush St Ste 100
San Francisco, CA 94104-4251
Phone (415) 365-0835

Other practice location 1

2220 Bridgepointe Pkwy
Target Pharmacy Store #1122
Foster City, CA 94404-1569
Phone (650) 393-2126

Other practice location 2

2220 Bridgepointe Pkwy
Target Pharmacy Store #1122
Foster City, CA 94404-1569
Phone (650) 393-2126

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
69571CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina CVS Pharmacy LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922433846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BUSH ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044251",
            "telephone_number": "415-365-0835",
            "fax_number": "415-365-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BUSH ST STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044251",
            "telephone_number": "415-365-0835",
            "fax_number": "415-365-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Bridgepointe Pkwy",
            "address_2": "TARGET PHARMACY STORE #1122",
            "address_purpose": "LOCATION",
            "city": "Foster City",
            "state": "CA",
            "postal_code": "944041569",
            "country_code": "US",
            "telephone_number": "650-393-2126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Bridgepointe Pkwy",
            "address_2": "TARGET PHARMACY STORE #1122",
            "address_purpose": "LOCATION",
            "city": "Foster City",
            "state": "CA",
            "postal_code": "944041569",
            "country_code": "US",
            "telephone_number": "650-393-2126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRABOULY",
        "first_name": "YOUSEF",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.