Active NPI
Saida Mohamed, PHARM D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Minneapolis, MN
National Provider Identifier
1366689002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 119211
- Practice address
- 1822 E Lake St
Minneapolis, MN 55407-1879 - Phone
- (612) 987-2002
- NPI assigned
- Jan 16, 2009
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 119211 | MN | Primary |
Addresses
Primary practice location
1822 E Lake St
Minneapolis, MN 55407-1879
Mailing address
590 Sutherland Dr
Woodbury, MN 55129-8543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119211 | Other | MN | BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 119211 | MN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cedar Pharmacy | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Minneapolis, MN
- NPI 1447497953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1366689002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 SUTHERLAND DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551298543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1822 E LAKE ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071879",
"telephone_number": "612-987-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "SAIDA",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MN",
"license": "119211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "119211",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.