Individual provider Active NPI

Ahmad M Rkein, PHARM.D.

  • Pharmacist
  • Mesa, AZ
National Provider Identifier
1467118463
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S017945 Issued in AZ
Practice address
1137 S Dobson Rd
Mesa, AZ 85202-3902
Phone
(480) 964-1411
NPI assigned
Nov 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S017945 AZ Primary

Addresses

Primary practice location

1137 S Dobson Rd
Mesa, AZ 85202-3902

Mailing address

125 S 56TH St Unit 83
Mesa, AZ 85206-1561
Phone (480) 229-1411

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA Direct ARIZONA CVS STORES LLC

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
S017945AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona CVS Stores LLC PastSince Nov 21, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636848000000",
    "number": "1467118463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S 56TH ST UNIT 83",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061561",
            "telephone_number": "480-229-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 S DOBSON RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852023902",
            "telephone_number": "480-964-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RKEIN",
        "first_name": "AHMAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S017945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "Y",
            "endpointDescription": "CVS PHarmacy",
            "affiliationName": "ARIZONA CVS STORES LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1137 S Dobson Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852023902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; 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.