Active NPI
Mohamed Gomaa, PHARM D
- Pharmacist
- Pontiac, MI
National Provider Identifier
1043758246
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302045121
- Practice address
- 35 S Johnson St Ste 1E
Pontiac, MI 48341-1660 - Phone
- (248) 791-7566
- Fax
- (248) 791-7567
- NPI assigned
- Feb 8, 2017
- Last updated
- Dec 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302045121 | MI | Primary |
Addresses
Primary practice location
35 S Johnson St Ste 1E
Pontiac, MI 48341-1660
Mailing address
35 S Johnson St Ste 1E
Pontiac, MI 48341-1660
Phone (248) 791-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302045121 | MI | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512777600000",
"number": "1043758246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 S JOHNSON ST STE 1E",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483411660",
"telephone_number": "248-791-7566",
"fax_number": "248-791-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 S JOHNSON ST STE 1E",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483411660",
"telephone_number": "248-791-7566",
"fax_number": "248-791-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMAA",
"first_name": "MOHAMED",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-08",
"last_updated": "2017-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.