Wali Abdul, PHARM. D.
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Dallas, TX
NPI 1962013300 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1962013300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 67062 (TX)
- Practice address
- 9140 Forest LN
Dallas, TX 75243-4202 - Phone
- (214) 221-0978
- NPI assigned
- Aug 10, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67062 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas L P | Past |
Accepting new patients | |
| Kroger Texas LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 67062 | TX | Yes |
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
Other providers in Dallas, TX
- Cherry A Abdou
- Omer Abdrabbuh
- Abdul Basit MD PLLC
- Nour Abdul Halim
- Tiara Abdul-Khaaliq
- Sofia Mohammad Abdulaziz
- Bassel Abdulkarim
- Ahmed Abdullah
- Farhan Abdullah
- Shuaib Abdullah
All providers in Dallas, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.