Mohamed K Nasser

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302042461 Issued in MI

Practice address

17013 Fort St Ste 100
Riverview, MI 48193-6656

Phone

(734) 288-3750

Fax

(734) 288-3079

NPI assigned

Mar 14, 2022

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• My RX Pharmacy LLC

  • Community/Retail Pharmacy
  • Riverview, MI
  • NPI 1962960971
  NPD Authorized official

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1841948437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17013 FORT ST STE 100",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936656",
            "telephone_number": "313-461-8722",
            "fax_number": "734-288-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17013 FORT ST STE 100",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481936656",
            "telephone_number": "734-288-3750",
            "fax_number": "734-288-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "MOHAMED",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302042461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motor City Drip L.L.C.
• Movement Physical and Occupational Therapy LLC
• Alexia Grace Moylan, RN
• Tiffany Murphy, DO
• My RX Pharmacy LLC
• Laurie Sue Nastas, CCCA
• New Star Home Health Care Inc
• Tammy R Nickell, PTA
• Eric B Noble, DPT
• Barbara Lynn Novak

• Pharmacist in Riverview, MI
• Providers in Riverview, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.