Active NPI
Ahmed Eldahmy, PHARMD
- Pharmacist
- San Diego, CA
National Provider Identifier
1437665288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66936
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66936 | Other | CA | BOARD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 66936 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Long Term Care Pharmacy
- San Diego, CA
- NPI 1003374554
-
- Community/Retail Pharmacy
- San Diego, CA
- NPI 1184139834
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.