Individual provider Active NPI

Adam Nabil-Ibrahim Guirguis, DPH

  • Pharmacist
  • Ardmore, OK
National Provider Identifier
1982947560
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14748 Issued in OK
Practice address
1111 N Commerce St
Ardmore, OK 73401-3922
Phone
(580) 226-6978
Fax
(580) 226-7543
NPI assigned
Apr 1, 2013
Sex
Male
Sole proprietor
Yes

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 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

State licenses

LicenseStateTypeSpecialty
14748OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14748 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

1111 N Commerce St
Ardmore, OK 73401-3922

Mailing address

100 E Broadway St
Apt. a
Ardmore, OK 73401-9176
Phone (347) 512-8919

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2013.

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1982947560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E BROADWAY ST",
            "address_2": "APT. A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734019176",
            "telephone_number": "347-512-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N COMMERCE ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013922",
            "telephone_number": "580-226-6978",
            "fax_number": "580-226-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRGUIS",
        "first_name": "ADAM",
        "middle_name": "NABIL-IBRAHIM",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.