Active NPI
Mohammed Shamsul Alam, PHARM D
- Pharmacist
- Coconut Creek, FL
National Provider Identifier
1609145911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS44122
- Practice address
- 6390 N State Road 7
Coconut Creek, FL 33073-3601 - Phone
- (954) 570-7904
- NPI assigned
- Dec 16, 2011
- Last updated
- Jan 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | PS44122 | FL | Primary |
Addresses
Primary practice location
6390 N State Road 7
Coconut Creek, FL 33073-3601
Mailing address
2750 Forest Hills Blvd Apt 206
Coral Springs, FL 33065-5455
Phone (954) 881-1008
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS44122 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1323993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1609145911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 FOREST HILLS BLVD APT 206",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330655455",
"telephone_number": "954-881-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6390 N STATE ROAD 7",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733601",
"telephone_number": "954-570-7904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAM",
"first_name": "MOHAMMED",
"middle_name": "SHAMSUL",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-16",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.