Active NPI
Nebil H Mohammed, PHARM.D
- Pharmacist
- Winslow, AZ
National Provider Identifier
1801312962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25194
- Practice address
- 500 Indiana Ave
Winslow, AZ 86047-2169 - Phone
- (928) 289-6215
- NPI assigned
- Aug 20, 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 | 25194 | MD | Primary |
Addresses
Primary practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Mailing address
500 Indiana Ave
Winslow, AZ 86047-2169
Other practice location 1
13729 Connecticut Ave
Silver Spring, MD 20906-2916
Phone (301) 871-7511
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Maryland CVS Pharmacy, L.L.C. | 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": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525478400000",
"number": "1801312962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 INDIANA AVE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 INDIANA AVE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472169",
"telephone_number": "928-289-6215"
}
],
"practiceLocations": [
{
"address_1": "13729 Connecticut Ave",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209062916",
"country_code": "US",
"telephone_number": "301-871-7511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMMED",
"first_name": "NEBIL",
"middle_name": "H",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-20",
"last_updated": "2018-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.