Mohammed Diabor, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26025822A Issued in IN

Practice address

5301 Broadway
Merrillville, IN 46410-1554

Phone

(219) 884-0004

NPI assigned

Nov 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Hook-Superx LLC

  • Pharmacy
  • Merrillville, IN
  • NPI 1902909419
  NPD (past)

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1386247237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101554",
            "telephone_number": "219-884-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101554",
            "telephone_number": "219-884-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIABOR",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26025822A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Destjean
• Breanna Devine
• Avinash Nanikram Devnani, MD
• Brie Deyoung
• Srikietr Dhana, MD
• Dialysis Care Center Merrillville LLC
• Diamond Health Group
• Rachel Dick, BCBA, MA
• Carly Dietz
• Nicole Dietz

• Pharmacist in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.