KHABIBA ABDUGANIEVA (NPI# 1437631819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437631819 |
Entity Type | Individual |
Full Name | KHABIBA ABDUGANIEVA |
Credential | PHARMD |
Practice Address |
1580 Route 112 Medford NY 11763-3655 |
Practice Telephone | 6312079234 |
Enumeration Date | 2018-09-03 |
Last Update Date | 2018-09-03 |
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 |
064471 | NY | Pharmacy Service Providers |
Street Address |
1580 ROUTE 112 |
City | MEDFORD |
State | NY |
Zip Code | 11763-3655 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720093875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1580 Route 112, Medford, NY 11763-3655 | 2006-07-29 |
1003138801 | Nga Le | Pharmacist | 1580 Route 112, Medford, NY 11763-3632 | 2010-02-19 |
1063650521 | Katarzyna Gray | Pharmacist | 1580 Route 112, Medford, NY 11763-3655 | 2009-01-21 |
1164695961 | Daniel F Wiercinski | Pharmacist | 1580 Route 112, Medford, NY 11763-3632 | 2008-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
Find all providers in zip 11763 |
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 |
---|---|---|---|---|
1205377272 | Glatz Rx Consultants LLC | Pharmacist | 54 Broken Arrow Road, Medford, NJ 08055 | 2017-03-10 |
1255871745 | Charles W Glatz | Pharmacist | 54 Broken Arrow Bend, Medford, NJ 08055 | 2017-03-02 |
1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
1649504507 | Drilon Saliu | Pharmacist | 75 Station Lndg, Medford, MA 02155-5127 | 2009-09-25 |
1679174080 | Tiffany Chau | Pharmacist | 981 Medford Ctr, Medford, OR 97504-6700 | 2020-11-03 |
1477162691 | Julian Thomas Sonnenburg | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2020-07-23 |
1386283166 | Ruthie Nguyen | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-12-27 |
1861034621 | Mark Vance | Pharmacist | 70 Bower Dr, Medford, OR 97501-3689 | 2019-10-14 |
1063061554 | Brandee Harris | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-06 |
1396273561 | Alison Sigler | Pharmacist | 19 Myrtle St, Medford, OR 97504-7337 | 2017-05-31 |
Find all providers in MEDFORD |
Please comment or provide details below to improve the information on KHABIBA ABDUGANIEVA.
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.