Active NPI
Mina Mahrou
- Pharmacist
- San Diego, CA
National Provider Identifier
1396136446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70595
- Practice address
- 101 G St
San Diego, CA 92101-6833 - Phone
- (619) 237-7660
- NPI assigned
- Feb 11, 2015
- Last updated
- Feb 11, 2015
- 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 | 183500000X | 70595 | CA | Primary |
Addresses
Primary practice location
101 G St
San Diego, CA 92101-6833
Mailing address
15267 Maturin Dr Unit 19
San Diego, CA 92127-2325
Phone (619) 743-8144
Other names 1
- Dr. Mina Mahrou
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70595 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | 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": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1396136446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15267 MATURIN DR UNIT 19",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921272325",
"telephone_number": "619-743-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 G ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016833",
"telephone_number": "619-237-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHROU",
"first_name": "MINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MINA",
"last_name": "MAHROU",
"prefix": "DR.",
"credential": "PHARMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.