Active NPI
Husam Khaled Mohammad, RPH
- Pharmacist
- Mount Airy, NC
National Provider Identifier
1770715864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20730
- Practice address
- 114 E Lebanon St
Mount Airy, NC 27030-3662 - Phone
- (336) 786-2177
- NPI assigned
- Aug 22, 2009
- Sex
- Male
- 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 | 20730 | NC | Primary |
Addresses
Primary practice location
114 E Lebanon St
Mount Airy, NC 27030-3662
Mailing address
824 Gramercy St
Winston Salem, NC 27104-5904
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20730 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | 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.
-
- Community/Retail Pharmacy
- Mount Airy, NC
- NPI 1336248525
-
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250899200000",
"number": "1770715864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 GRAMERCY ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271045904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E LEBANON ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303662",
"telephone_number": "336-786-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMAD",
"first_name": "HUSAM",
"middle_name": "KHALED",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-22",
"last_updated": "2009-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.