Emad Banoub (NPI# 1700407350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1700407350 |
| Entity Type | Individual |
| Full Name | Emad Banoub |
| Gender | Male |
| Practice Address |
1105 Hyw 181 Portland TX 78374 |
| Practice Telephone | 3612297251 |
| Mailing Address |
1514 Ennis Joslin Rd Apt 626 Corpus Christi TX 78412-2112 |
| Mailing Telephone | 4698317002 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 183500000X | Pharmacist | Pharmacy Service Providers | 66273 | TX |
| 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 |
|---|---|---|---|---|
| 1992301147 | Yelena Romani | Pharmacist | 99 State St Unit 3, Portland, ME 04101-3758 | 2020-12-11 |
| 1851996987 | Karen Tinkham | Pharmacist | 2r 295 Forest Ave., Portland, ME 04101 | 2020-12-04 |
| 1316542954 | Stephanie Bentley | Pharmacist | 304 S Broadway St, Portland, TN 37148-1451 | 2020-12-02 |
| 1679178370 | Nicholas Leland | Pharmacist | 295 Forest Ave Ste 2r, Portland, ME 04101-2018 | 2020-12-01 |
| 1669076121 | Dawn Lisowski | Pharmacist | 2r 295 Forest Ave, Hannaford Plaza, Portland, ME 04101 | 2020-11-25 |
| 1366045593 | Charles Rue | Pharmacist | 295r Forest Ave, Portland, ME 04101-2002 | 2020-11-19 |
| 1376146514 | Jessica Pierce | Pharmacist | 295 Forest Ave # R, Portland, ME 04101-2018 | 2020-11-19 |
| 1437752607 | Paul Szatkowski | Pharmacist | 2r 295 Forest Avenue, Portland, ME 04101-2790 | 2020-11-19 |
| 1063015857 | Virginia Dennis | Pharmacist | 304 S Broadway St Ste A, Portland, TN 37148-1451 | 2020-11-16 |
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| Find all providers in PORTLAND | ||||
| Street Address |
1105 HYW 181 |
| City | PORTLAND |
| State | TX |
| Zip Code | 78374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256893 | Rebecca Lovins | Behavior Technician | 304, Frio Dr, Portland, TX 78374 | 2020-02-11 |
| 1760962997 | Kimberly Beal | Licensed Vocational Nurse | 201 Sabine St, Portland, TX 78374 | 2018-08-16 |
| 1134577836 | Christopher Tipton | Specialist/Technologist | 4800 Wildcat Dr., Portland, TX 78374 | 2016-06-03 |
| 1134592629 | Coastal Bend Physicians Pllc | Clinic/Center | 1860 Us Highway 181, Suite C, Portland, TX 78374 | 2015-11-05 |
| 1093191397 | Coastal Er IIi, LLC | Clinic/Center | 1860 Highway 181 Frontage Road, Ste C, Portland, TX 78374 | 2015-08-10 |
| 1376942466 | Allen Portland Dentistry Associates Pllc | Dentist | 101 Cox Dr., Portland, TX 78374 | 2014-08-14 |
| 1699188284 | Leola Brumley | Speech-Language Pathologist | 2002 Matagorda Dr., Portland, TX 78374 | 2014-06-11 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| 1538355219 | Andrew Marcus Rosendahl | Physician Assistant | 1912 Falcon Drive, Portland, TX 78374 | 2007-09-17 |
| 1821282583 | C H Wilkinson Physician Network | Nurse Practitioner | 1600 Wildcat Drive, Portland, TX 78374 | 2007-09-05 |
| Find all providers in zip 78374 | ||||
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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.