Active NPI
Maisun Kalil Mohamed Mahmud
- Pharmacist
- Greer, SC
National Provider Identifier
1750959979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42829
- Practice address
- 101 W Wade Hampton Blvd
Greer, SC 29650-1651 - Phone
- (864) 968-1949
- Fax
- (864) 968-2029
- NPI assigned
- Jun 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 42829 | SC | Primary |
Addresses
Primary practice location
101 W Wade Hampton Blvd
Greer, SC 29650-1651
Mailing address
8 Stone Mill CT
Taylors, SC 29687-5443
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 |
|---|---|---|---|
| 42829 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1750959979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 STONE MILL CT",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296875443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W WADE HAMPTON BLVD",
"city": "GREER",
"state": "SC",
"postal_code": "296501651",
"telephone_number": "864-968-1949",
"fax_number": "864-968-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED MAHMUD",
"first_name": "MAISUN",
"middle_name": "KALIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.