Alaa Elkomy, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

122134 Issued in MN

Practice address

2021 Market Dr
Stillwater, MN 55082-7546

Phone

(651) 439-0992

NPI assigned

Jun 6, 2016

Sex

Male

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1821447319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK GROVE ST",
            "address_2": "APT 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033342",
            "telephone_number": "612-354-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MARKET DR",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827546",
            "telephone_number": "651-439-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKOMY",
        "first_name": "ALAA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Louise Edel, MSN, CNP, AGNP-C
• Brandon Edlund, MD
• Kayla Eggen, COTA
• Nora Annette Eiesland, LMFT
• Marijana Ekvall
• Joanne K Eller, PA
• Elizabeth Ellingson, OTR/L
• Aaron Elliott, MSW, LGSW, LADC
• Tiffany Elliott, OTR/L
• Dawn Marie Ellison, MD

• Pharmacist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.