Individual provider Active NPI

Omar Attarabeen, M.S., PH.D., R.PH.,

  • Pharmacist
  • Bruceton Mills, WV
National Provider Identifier
1922477637
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0008261 Issued in WV
Practice address
198 Morgantown Street Suite 1
Bruceton Mills, WV 26525
Phone
(304) 379-6929
NPI assigned
Sep 23, 2015
Sex
Male
Sole proprietor
No

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.

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
Master of Science, Doctor of Philosophy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP0008261WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruceton Pharmacy Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0008261 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

198 Morgantown Street Suite 1
Bruceton Mills, WV 26525

Mailing address

PO Box a
Bruceton Pharmacy
Bruceton Mills, WV 26525
Phone (304) 379-6929

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2015.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1922477637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A",
            "address_2": "BRUCETON PHARMACY",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "26525",
            "telephone_number": "304-379-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MORGANTOWN STREET SUITE 1",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "26525",
            "telephone_number": "304-379-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTARABEEN",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.S., PH.D., R.PH.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0008261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bruceton Mills, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.