Active NPI
Mohamad-Louai Kourani, PHARMD
- Pharmacist
- Passaic, NJ
National Provider Identifier
1134410343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03321800
- Practice address
- 136 President St
Passaic, NJ 07055-6941 - Phone
- (973) 277-2237
- NPI assigned
- Apr 21, 2011
- Last updated
- Feb 28, 2022
- 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 | 28RI03321800 | NJ | Primary |
Addresses
Primary practice location
136 President St
Passaic, NJ 07055-6941
Mailing address
136 President St
Passaic, NJ 07055-6941
Phone (973) 277-2237
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 |
|---|---|---|---|
| 28RI03321800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLK RX Group LLC | Current | Accepting new patients | |
| MLK RX Group LLC | Current | Accepting new patients |
Locations
136 President St
Passaic, NJ 07055
Phone (973) 277-2237
Organizations & group practices 2
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": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1134410343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 PRESIDENT ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070556941",
"telephone_number": "973-277-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 PRESIDENT ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070556941",
"telephone_number": "973-277-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOURANI",
"first_name": "MOHAMAD-LOUAI",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-21",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03321800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.