Mohamed Nagi Ali, PHARM.D.
Individual provider Active NPI Pharmacist · Ruidoso, NM
NPI 1124435292 · NPPES record last updated Jul 21, 2014
Key facts
- NPI
- 1124435292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP00008115 (NM)
- Practice address
- 138 Sudderth Dr
Ruidoso, NM 88345-6025 - Phone
- (575) 257-1566
- NPI assigned
- Jul 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA0019892 | CO | MD | Pharmacist |
| RP00008115 | NM | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008115 | NM | Yes |
| Pharmacist | 183500000X | PHA0019892 | CO |
Addresses
Primary practice location
138 Sudderth Dr
Ruidoso, NM 88345-6025
Mailing address
138 Sudderth Dr
Ruidoso, NM 88345-6025
Phone (575) 257-1566
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.