Healthcare Provider Details

I. General information

NPI: 1457276438
Provider Name (Legal Business Name): ABDULLAH ALOQAYBI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E WALNUT LAWN ST
SPRINGFIELD MO
65807-7506
US

IV. Provider business mailing address

3801 S NATIONAL AVE
SPRINGFIELD MO
65807-5210
US

V. Phone/Fax

Practice location:
  • Phone: 417-269-4450
  • Fax:
Mailing address:
  • Phone: 417-269-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number2026018145
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: