Active NPI
Mariam Mahmoud Momani, PHARMD
- Pharmacist
- La Jolla, CA
National Provider Identifier
1124714050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29280
- Practice address
- 9888 Genesee Ave
La Jolla, CA 92037-1205 - Phone
- (858) 834-1798
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- 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 | 29280 | MD | Primary |
Addresses
Primary practice location
9888 Genesee Ave
La Jolla, CA 92037-1205
Mailing address
5410 McGrath Blvd Apt 256
North Bethesda, MD 20852-8734
Phone (240) 413-0834
Other practice location 1
901 Harry S Truman Dr N
Largo, MD 20774-5477
Phone (240) 677-1000
Other practice location 2
1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29280 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1124714050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MCGRATH BLVD APT 256",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "208528734",
"telephone_number": "240-413-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9888 GENESEE AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371205",
"telephone_number": "858-834-1798"
}
],
"practiceLocations": [
{
"address_1": "901 Harry S Truman Dr N",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "MD",
"postal_code": "207745477",
"country_code": "US",
"telephone_number": "240-677-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 N Charles St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212015505",
"country_code": "US",
"telephone_number": "410-837-2050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOMANI",
"first_name": "MARIAM",
"middle_name": "MAHMOUD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "29280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
- William C Mohlenbrock, MD
- Darush Lawrence Mohyi, M.D.
- Jennifer Moitoza Johnson, M.D.
- Chace Donovyne Ikaika Moleta, MD
- Gaston R. Molina Jr., M.D.
- Molly Latta Monahan, PA-C
- Nisha N Money, MD
- Nattaporn Mongkolkeha
- Monica Dolland Proprioceptive Chiropractic Solutions, Corp
- Monica Perlman MD Inc. (Perlman Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.