Mahmoud M. Ali
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Passaic, NJ
NPI 1831703370 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1831703370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 28RI04093100 (NJ)
- Practice address
- 38 Market St
Passaic, NJ 07055-7404 - Phone
- (646) 642-9681
- Fax
- (973) 396-8919
- NPI assigned
- Sep 2, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04093100 | NJ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Care Passaic Pharmacy Corp | Current | Accepting new patients |
Locations
38 Market St
Passaic, NJ 07055
Phone (973) 396-8918
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 28RI04093100 | NJ | Yes |
Addresses
Primary practice location
38 Market St
Passaic, NJ 07055-7404
Mailing address
38 Market St
Passaic, NJ 07055-7404
Phone (646) 642-9681
Other providers in Passaic, NJ
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- Kershina Shekira Alexander
- All Care Docs, PC
- All Care Physical Therapy and Sports Medicine Corp
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- Allure Dental Care
- Raul Almanzar
All providers in Passaic, NJ · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.