Mahmoud Jamil Shaltaf, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03326985 Issued in OH

Practice address

846 E Main St
Trotwood, OH 45426-2911

Phone

(937) 529-4433

Fax

(937) 715-4447

NPI assigned

Mar 8, 2011

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• KMG Pharmacy LLC

  • Long Term Care Pharmacy
  • Trotwood, OH
  • NPI 1124856703
  NPD Authorized official
• KMG Pharmacy LLC

  • Community/Retail Pharmacy
  • Trotwood, OH
  • NPI 1366811630
  NPD Authorized official
• Rite Aid of Ohio Inc

  dba Rite Aid Pharmacy 00449

  • Community/Retail Pharmacy
  • New Lebanon, OH
  • NPI 1255340733
  NPD (past)

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1578861944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4198 SEEMA DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454403742",
            "telephone_number": "937-427-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 E MAIN ST",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262911",
            "telephone_number": "937-529-4433",
            "fax_number": "937-715-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALTAF",
        "first_name": "MAHMOUD",
        "middle_name": "JAMIL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03326985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaritan LTC Pharmacy
• Ronald Santos Sr.
• Norman James Scearce III
• Virginia Danyel Scott, RN
• Melanie Shafer
• Shiloh Springs Care Center
• Gladys Shyne
• Vanecia Simmons
• Dana Monisha Sims
• Skylove Home Care LLC

• Pharmacist in Trotwood, OH
• Providers in Trotwood, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.