FAWZIEH MOURTADA (NPI# 1427577048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427577048 |
| Entity Type | Individual |
| Full Name | FAWZIEH MOURTADA |
| Practice Address |
Rite Aid 540 West 235th Street Bronx NY 10643 |
| Mailing Address |
540 W 235th St Bronx NY 10463-1709 |
| Practice Telephone | (718) 548-8600 |
| Mailing Telephone | 7185488600 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
061455 | NY | Pharmacy Service Providers |
| Street Address |
RITE AID 540 WEST 235TH STREET |
| City | BRONX |
| State | NY |
| Zip Code | 10643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1992306831 | Barbara Sam | Registered Nurse | 2889 Baisley Ave Apt 2fl, Bronx, NY 10461-6118 | 2020-11-06 |
| 1073114161 | Abi Group Luxury Inc | Taxi | 135 Dreiser Loop, Bronx, NY 10475-2704 | 2020-11-04 |
| 1386245595 | Liliana Maria Calle | Counselor | 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 | 2020-11-04 |
| 1245831528 | Multi Assistance Resource Centers Inc. | Counselor | 509 Willis Ave Fl 4, Bronx, NY 10455-4001 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1821699141 | Lena Vernon | Registered Nurse | 2949 Bouck Ave, Bronx, NY 10469-5210 | 2020-11-03 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| Find all providers in BRONX | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518291087 | Chidiebere Betran Aballa | Pharmacist | 563 East . Tremont Ave., Best Aid Pharmacy, Bronx, NY 10450 | 2009-09-30 |
| 1124628755 | Eka Beriashvili | Pharmacist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-11-01 |
| 1912506676 | Debra Willner | Pharmacist | 4422 3rd Ave, Bronx, NY 10457-2545 | 2020-10-22 |
| 1356951594 | Lendelle Raymond | Pharmacist | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-03 |
| 1548879463 | Jessica Monica Pitcairn | Pharmacist | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-07-27 |
| 1427667633 | Myroslava Sharabun | Pharmacist | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-07-24 |
| 1013530260 | Alesa Yevgenyevna Campbell | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-05-22 |
| 1669029807 | Victor Chen | Pharmacist | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2019-08-22 |
| 1750868972 | Muhammad Tahhur Mir | Pharmacist | 306 E 149th St, Bronx, NY 10451-5602 | 2018-07-20 |
| 1639566813 | Angela Gandolfa Giovanniello | Pharmacist | 305 E 161st St, Chcc- Montefiore Medical Group, Bronx, NY 10451-3535 | 2015-04-25 |
| Find all providers in BRONX | ||||
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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.