Active NPI
Emanuel H Solomon, PHARMACIST
- Pharmacist
- Fort Mohave, AZ
National Provider Identifier
1487021895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008319
- Practice address
- 4823 S Highway 95
Fort Mohave, AZ 86426-8314 - Phone
- (928) 704-4443
- NPI assigned
- Sep 1, 2015
- Last updated
- Oct 9, 2020
- Sex
- Male
- Sole proprietor
- No
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 | RP00008319 | NM | Primary |
Addresses
Primary practice location
4823 S Highway 95
Fort Mohave, AZ 86426-8314
Mailing address
4823 S Highway 95
Fort Mohave, AZ 86426-8314
Phone (928) 704-4443
Other practice location 1
1956 Highway 180 E
Silver City, NM 88061-7781
Phone (575) 388-0133
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 |
|---|---|---|---|
| RP00008319 | NM | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | 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": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1487021895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4823 S HIGHWAY 95",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864268314",
"telephone_number": "928-704-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4823 S HIGHWAY 95",
"city": "FORT MOHAVE",
"state": "AZ",
"postal_code": "864268314",
"telephone_number": "928-704-4443"
}
],
"practiceLocations": [
{
"address_1": "1956 Highway 180 E",
"address_purpose": "LOCATION",
"city": "Silver City",
"state": "NM",
"postal_code": "880617781",
"country_code": "US",
"telephone_number": "575-388-0133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLOMON",
"first_name": "EMANUEL",
"middle_name": "H",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-01",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mohave, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.