Active NPI
Roua H Aboukhadijeh, PHARMD
- Pharmacist
- Riverside, CA
National Provider Identifier
1972197861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83584
- Practice address
- 6215 Riverside Ave
Riverside, CA 92506-2179 - Phone
- (949) 505-2484
- NPI assigned
- Feb 22, 2021
- Last updated
- Feb 28, 2021
- Sex
- Female
- 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 | 183500000X | 83584 | CA | Primary |
Addresses
Primary practice location
6215 Riverside Ave
Riverside, CA 92506-2179
Mailing address
13046 Empty Saddle CT
Corona, CA 92883-6306
Phone (949) 505-2484
Other practice location 1
13046 Empty Saddle Ct
Corona, CA 92883-6306
Phone (949) 505-2484
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 |
|---|---|---|---|
| 83584 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614470400000",
"number": "1972197861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13046 EMPTY SADDLE CT",
"city": "CORONA",
"state": "CA",
"postal_code": "928836306",
"telephone_number": "949-505-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 RIVERSIDE AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062179",
"telephone_number": "949-505-2484"
}
],
"practiceLocations": [
{
"address_1": "13046 Empty Saddle Ct",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "CA",
"postal_code": "928836306",
"country_code": "US",
"telephone_number": "949-505-2484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABOUKHADIJEH",
"first_name": "ROUA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-28",
"certification_date": "2021-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
- Ability Pathways Inc (Jones Division)
- Hilal Abo, MD
- Alyssa Aboff, CRNA, DNP
- Georges Abou Rjaili, MD
- Darian Aboubakare, MD
- Aboveboard Consulting & Marriage Counseling Services, Inc
- Aboveboard Consulting & Marriage Counseling Services, Inc
- Abraham Ghorbanian Dental Corporation (Aava Dental of Riverside)
- Serjik Abrahamian, MD
- Brandon Kosal Abrajan, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.