Amr Abdelrehiem, PHARM.D – Pharmacist

Key facts

NPI: 1962013607
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 38963 (TN)
Practice address: 8714 E Brainerd Rd
Chattanooga, TN 37421-4415
Phone: (423) 892-4932
NPI assigned: Aug 16, 2020
Sex: Male
Sole proprietor: Yes

Organizations & group practices 3

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.

Walgreen Co Pharmacy · Chattanooga, TN · NPI 1346256799

NPD (past)
Walgreen Co Pharmacy · Chattanooga, TN · NPI 1851306864

NPD (past)
Walgreen Co Pharmacy · Longview, TX · NPI 1629956545

NPD (past)

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
38963	TN	MD	Pharmacist

Practice roles

Organization	Status	New patients
Walgreen Co	Past since Aug 1, 2020	Accepting new patients
Walgreen Co	Past since Aug 1, 2020	Accepting new patients
Walgreen Co	Past since Jan 1, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	38963	TN	Yes

Addresses

Primary practice location

8714 E Brainerd Rd
Chattanooga, TN 37421-4415

Mailing address

8714 E Brainerd Rd
Chattanooga, TN 37421-4415
Phone (423) 499-4262

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 26, 2022.

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1962013607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214415",
            "telephone_number": "423-499-4262",
            "fax_number": "423-499-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214415",
            "telephone_number": "423-892-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELREHIEM",
        "first_name": "AMR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-16",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "38963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

All providers in Chattanooga, TN · Pharmacist in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2022. 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.

Verify at the official NPI Registry.