Active NPI
Mohamed Elhaj, PHARMD
- Pharmacist
- Glendale, AZ
National Provider Identifier
1790224152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S022251
- Practice address
- 5011 W Union Hills Dr
Glendale, AZ 85308-1441 - Phone
- (602) 896-0257
- NPI assigned
- Feb 17, 2017
- Last updated
- Feb 17, 2017
- 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 | S022251 | AZ | Primary |
Addresses
Primary practice location
5011 W Union Hills Dr
Glendale, AZ 85308-1441
Mailing address
5703 N 43Rd Dr
Glendale, AZ 85301-6317
Phone (402) 321-4589
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 |
|---|---|---|---|
| S022251 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1790224152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 N 43RD DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853016317",
"telephone_number": "402-321-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 W UNION HILLS DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081441",
"telephone_number": "602-896-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELHAJ",
"first_name": "MOHAMED",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-17",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.