Mohammed Adem Aliyu, RPH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

3699 Hway 95
Bullhead City, AZ 86442-9118

Phone

(928) 704-5065

Fax

(928) 704-5075

NPI assigned

Sep 21, 2017

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2017.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1255840229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 HWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864429118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 HWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864429118",
            "telephone_number": "928-704-5065",
            "fax_number": "928-704-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIYU",
        "first_name": "MOHAMMED",
        "middle_name": "ADEM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bullhead City, AZ
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.