Active NPI
Ayman Mohamed
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1487973574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64296
- 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.
-
- Community/Retail Pharmacy
- Bakersfield, CA
- NPI 1093229320
-
- Long Term Care Pharmacy
- Bakersfield, CA
- NPI 1184238925
-
- Community/Retail Pharmacy
- Shafter, CA
- NPI 1376652610
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
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 |
|---|---|---|---|
| 64296 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phast Pharmacy | Current | Accepting new patients | |
| Phast Pharmacy | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64296 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64296 | Other | CA | PHARMACIST 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.