Individual provider Active NPI

Ayman Mohamed

  • Pharmacist
  • Bakersfield, CA
National Provider Identifier
1487973574
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64296 Issued in CA
Practice address
1121 W Columbus St
Bakersfield, CA 93301-1105
Phone
(661) 578-6500
Fax
(661) 578-6501
NPI assigned
May 27, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

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

LicenseStateTypeSpecialty
64296CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Phast Pharmacy CurrentSince Oct 13, 2019 Accepting new patients
Phast Pharmacy CurrentSince Sep 6, 2020 Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Locations

1121 W Columbus St
Bakersfield, CA 93301
Phone (661) 527-2030

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64296 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1121 W Columbus St
Bakersfield, CA 93301-1105

Mailing address

1121 W Columbus St
Bakersfield, CA 93301-1105
Phone (661) 578-6500

Other practice location 1

150 E Lerdo Hwy
Shafter, CA 93263-2702
Phone (661) 746-4991

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
64296OtherCAPHARMACIST LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2019.

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1487973574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 W COLUMBUS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011105",
            "telephone_number": "661-578-6500",
            "fax_number": "661-578-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W COLUMBUS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011105",
            "telephone_number": "661-578-6500",
            "fax_number": "661-578-6501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Lerdo Hwy",
            "address_purpose": "LOCATION",
            "city": "Shafter",
            "state": "CA",
            "postal_code": "932632702",
            "country_code": "US",
            "telephone_number": "661-746-4991",
            "fax_number": "661-746-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AYMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "64296",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.