Active NPI
Mohammed Shoeb Ali, PHARMD
- Pharmacist
- Manassas, VA
National Provider Identifier
1245831684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202214336
- Practice address
- 8025 Sudley Rd
Manassas, VA 20109-8001 - Phone
- (703) 361-9210
- NPI assigned
- Nov 3, 2020
- Last updated
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 0202214336 | VA | Primary |
Addresses
Primary practice location
8025 Sudley Rd
Manassas, VA 20109-8001
Mailing address
8025 Sudley Rd
Manassas, VA 20109-8001
Phone (703) 361-9210
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 |
|---|---|---|---|
| 0202214336 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
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": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1245831684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8025 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201098001",
"telephone_number": "703-361-9210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8025 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201098001",
"telephone_number": "703-361-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MOHAMMED",
"middle_name": "SHOEB",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.