Active NPI
Wali Abdul, PHARM. D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Dallas, TX
National Provider Identifier
1962013300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 67062
- Practice address
- 9140 Forest LN
Dallas, TX 75243-4202 - Phone
- (214) 221-0978
- NPI assigned
- Aug 10, 2020
- Last updated
- Aug 10, 2020
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 67062 | TX | Primary |
Addresses
Primary practice location
9140 Forest LN
Dallas, TX 75243-4202
Mailing address
18116 Peppy PL
Dallas, TX 75252-2700
Phone (682) 888-7543
Other practice location 1
17194 Preston Rd
Dallas, TX 75248-1221
Phone (972) 931-9371
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 |
|---|---|---|---|
| 67062 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | 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": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1962013300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18116 PEPPY PL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752522700",
"telephone_number": "682-888-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9140 FOREST LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752434202",
"telephone_number": "214-221-0978"
}
],
"practiceLocations": [
{
"address_1": "17194 Preston Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752481221",
"country_code": "US",
"telephone_number": "972-931-9371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDUL",
"first_name": "WALI",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-10",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "67062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.