MUGTABA ABDALLA ELTAYEB (NPI# 1104468768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104468768 |
| Entity Type | Individual |
| Full Name | MUGTABA ABDALLA ELTAYEB |
| Credential | PHARMD |
| Practice Address |
1550 N Sandhills Blvd Aberdeen NC 28315-2304 |
| Practice Telephone | 9109440438 |
| Mailing Telephone | 9109440438 |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28338 | NC | Pharmacy Service Providers |
| Street Address |
1550 N SANDHILLS BLVD |
| City | ABERDEEN |
| State | NC |
| Zip Code | 28315-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437492246 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2013-03-29 |
| 1427698844 | Wendy Hamilton | Pharmacist | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2020-01-14 |
| 1427579937 | Walid Ahmed Nazari | Pharmacist | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2017-07-06 |
| 1740633403 | Jordan Marie Fornecker | Pharmacist | 1550 N Sandhills Blvd, Aberdeen, NC 28315-2304 | 2016-07-18 |
| 1215360417 | Erin E Quinn | Pharmacist | 1550 N Sandhills Blvd, Aberdeen, NC 28315 | 2013-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942821681 | Mission Physical Therapy LLC | Clinic/Center | 155 Allison Page Road, Suite B, Aberdeen, NC 28315 | 2020-05-05 |
| 1154768653 | Dr Cameron and Associates, Pllc | Dentist | 292 Turner St., Aberdeen, NC 28315 | 2013-05-24 |
| 1891043493 | Anne M Kratzer | Doula | 1000 Robinwood Rd, Aberdeen, NC 28315 | 2012-08-29 |
| 1912283912 | Triune Laboratory | Clinical Medical Laboratory | 325b Fields Dr, Aberdeen, NC 28315 | 2011-10-24 |
| 1013206705 | Alvin D. Wilson | Social Worker | 115 Ashleigh Blvd, Aberdeen, NC 28315 | 2011-04-01 |
| 1841593167 | Constance L. Pearson | Counselor | 100 Magnolial Square Court, Aberdeen, NC 28315 | 2010-12-08 |
| 1568799617 | Tammie C Watkins | Pharmacist | 15911 Hwy 15-501, Aberdeen, NC 28315 | 2009-11-11 |
| 1518002203 | Kidspeace National Centers of North America Inc | Community/Behavioral Health | 604 Magnolia Drive, Aberdeen, NC 28315 | 2007-02-20 |
| 1891855847 | Hope Family Center PC | Family Medicine | 210 Magnolia Square Ct, Aberdeen, NC 28315 | 2006-12-11 |
| 1154427318 | Gary P Dackor Dc Inc | Chiropractor | 1701 North Sandhills Blvd. Suite D, Aberdeen, NC 28315 | 2006-09-15 |
| Find all providers in zip 28315 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537238 | Brant Haase | Pharmacist | 406 N 2nd St, Aberdeen, SD 57401-2707 | 2020-10-28 |
| 1154960821 | Sidney Steven Odom | Pharmacist | 105 Courtyard Cir, Aberdeen, NC 28315-3850 | 2019-12-30 |
| 1215579776 | Isabel Liberato | Pharmacist | 1129 Route 34, Aberdeen, NJ 07747-2166 | 2019-10-16 |
| 1265995823 | Quentin Clifford Bury | Pharmacist | 1409 6th Ave Se Ste 2, Aberdeen, SD 57401-4950 | 2019-04-10 |
| 1609309616 | Wende Benson | Pharmacist | 508 N Broadway St, Aberdeen, WA 98520-3934 | 2017-04-06 |
| 1407229149 | Randall T Higgins | Pharmacist | 17 Waverly Pl, Aberdeen, NJ 07747-1817 | 2015-11-03 |
| 1104245620 | Dwight D. Wallace | Pharmacist | 44 S. Main St, Aberdeen, ID 83210 | 2014-04-11 |
| 1437583861 | Sevag Dishakjian | Pharmacist | 11109 Us 15-501, Unit 1804, Aberdeen, NC 28315-2306 | 2013-08-21 |
| 1952733164 | Marija Mikulskis Cavana | Pharmacist | 11109 Us Highway 15 501, Unit 1804, Aberdeen, NC 28315-2366 | 2013-07-30 |
| 1255614806 | Osama Afifi | Pharmacist | 24 Courtland Ln, Aberdeen, NJ 07747-2212 | 2011-09-21 |
| Find all providers in ABERDEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.