Provider Demographics
NPI:1316615420
Name:JABAR, ZIYAD (BS, PHARMD)
Entity type:Individual
Prefix:DR
First Name:ZIYAD
Middle Name:
Last Name:JABAR
Suffix:
Gender:M
Credentials:BS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 SPENCER HWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-1113
Mailing Address - Country:US
Mailing Address - Phone:713-946-4650
Mailing Address - Fax:
Practice Address - Street 1:3707 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-1113
Practice Address - Country:US
Practice Address - Phone:716-946-4650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist