Individual provider Active NPI

Ahmed Saad Bahgat

  • Pharmacist
  • Mankato, MN
National Provider Identifier
1245563550
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119571 Issued in MN
Practice address
104 Martin Cir
Mankato, MN 56001-5731
Phone
(507) 272-8455
NPI assigned
Sep 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 119571 MN Primary

Addresses

Primary practice location

104 Martin Cir
Mankato, MN 56001-5731

Mailing address

104 Martin Cir
Mankato, MN 56001-5731
Phone (507) 272-8455

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

State licenses

LicenseStateTypeSpecialty
119571MNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1245563550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARTIN CIR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015731",
            "telephone_number": "507-272-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARTIN CIR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015731",
            "telephone_number": "507-272-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHGAT",
        "first_name": "AHMED",
        "middle_name": "SAAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.