MEDICARE: DR. TAREK GHONEIM RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI04358000	NJ

General Provider Information

NPI Number	:	1477365336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAREK GHONEIM RPH

Provider Business Mailing Address
First Line	:	160 SAINT JAMES PL
Second Line	:
City	:	ATLANTIC CITY
State	:	NJ
Zip	:	08401-7106
Country	:	US
Telephone Number	:	347-751-3473
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 SAINT JAMES PL
Second Line	:
City	:	ATLANTIC CITY
State	:	NJ
Zip	:	08401-7106
Country	:	US
Telephone Number	:	347-751-3473
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	01/27/2025

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