KHABIBA ABDUGANIEVA


Address: 1580 Route 112, Medford, NY 11763-3655
Phone: 6312079234

KHABIBA ABDUGANIEVA (NPI# 1437631819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1580 ROUTE 112
City MEDFORD
State NY
Zip Code 11763-3655

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City MEDFORD
Zip Code 11763

Improve Information

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Dataset Information

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.

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