DR. AMJAD AZZAWE


Address: 1335 Mount Vernon St, Philadelphia, PA 19123-3211
Phone: 2142389055

DR. AMJAD AZZAWE (NPI# 1376160374) 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) 1376160374
Entity Type Individual
Full Name DR. AMJAD AZZAWE
Practice Address 1335 Mount Vernon St
Philadelphia
PA 19123-3211
Mailing Address 127 W Salaignac St
Philadelphia
PA 19127-1820
Practice Telephone 2142389055
Mailing Telephone 3182304105
Enumeration Date 2020-06-25
Last Update Date 2020-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RP454477 PA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA PA PHARMACIST LICENSE RP454477 01

Office Location

Street Address 1335 MOUNT VERNON ST
City PHILADELPHIA
State PA
Zip Code 19123-3211

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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013704 Truong Vu Pharmacist 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 2020-11-07
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1639797574 Nikia Moody Pharmacist 3300 S Broad St, Philadelphia, PA 19145-5802 2020-07-07
1730706136 William Galson Pharmacist 2732 E Venango St, Philadelphia, PA 19134-6121 2020-07-01
1801413489 Kim-anh Tran Pharmacist 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 2020-06-30
1861017345 Alice Hong Chandler Pharmacist 1405 S 10th St # At, Philadelphia, PA 19147-5608 2020-06-10
1710509518 Nicholas Jospeh Carroll Pharmacist 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 2020-05-14
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1871129809 Adina Klingman Pharmacist 5800 Woodland Ave, Philadelphia, PA 19143-5918 2020-03-21
1104457050 Alina Shvartsburg Pharmacist 736 Selmer Rd, Philadelphia, PA 19116-3632 2020-01-30
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Competitor

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City PHILADELPHIA
Zip Code 19123

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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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