Individual provider Active NPI

Ahmed Eldahmy, PHARMD

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1437665288
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66936 Issued in CA
Practice address
1985 National Ave Ste 1103
San Diego, CA 92113-2155
Phone
(619) 869-5895
Fax
(619) 331-1122
NPI assigned
Dec 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 66936 CA Primary

Addresses

Primary practice location

1985 National Ave Ste 1103
San Diego, CA 92113-2155

Mailing address

1985 National Ave Ste 1103
San Diego, CA 92113-2155
Phone (619) 869-5895

Other identifiers 1

IdentifierTypeStateIssuer
66936OtherCABOARD OF PHARMACY LICENSE

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

LicenseStateTypeSpecialty
66936CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eldahmy Wellness Pharmacy Inc. Past Accepting new patients
Eldahmy Wellness Pharmacy Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1437665288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 NATIONAL AVE STE 1103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132155",
            "telephone_number": "619-869-5895",
            "fax_number": "619-331-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 NATIONAL AVE STE 1103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132155",
            "telephone_number": "619-869-5895",
            "fax_number": "619-331-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDAHMY",
        "first_name": "AHMED",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "66936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "66936",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 15, 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.