Walla Mohamed

Primary specialty

PharmacistTaxonomy code 183500000X

License

055997 Issued in NY

Practice address

625 W 169TH St
New York, NY 10032-2916

Phone

(929) 309-9986

NPI assigned

Jun 23, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Wanss Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1174091219
  NPD Authorized official

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1639584295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W 169TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322916",
            "telephone_number": "929-309-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W 169TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322916",
            "telephone_number": "929-309-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "WALLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nader Mohamed
• Nourhan Mohamed
• Omar Mohamed, DMD
• Sara Ismail Mohamed, P.A.
• Therese Mohamed, CRNA
• Yehia Abouelyousr Mohamed, DPT
• Malika Mohamedi
• Mariam Mohamedi
• Mohammad Ashori, MD, a Professional Medical Corporation (Spring Medical Care (California))
• Ahmad Mohammad, MD

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.