Active NPI
Mohamed Waleed Abdel-Aziz, PHD
- Pharmacist
- Muncie, IN
National Provider Identifier
1871194902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26022055A
- Practice address
- 1501 E 29TH St
Muncie, IN 47302-5890 - Phone
- (765) 282-0578
- NPI assigned
- Nov 4, 2020
- Last updated
- Nov 4, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 26022055A | IN | Primary |
Addresses
Primary practice location
1501 E 29TH St
Muncie, IN 47302-5890
Mailing address
12814 Desplaines Dr
Fishers, IN 46037-7841
Phone (317) 966-9859
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022055A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1871194902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12814 DESPLAINES DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460377841",
"telephone_number": "317-966-9859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 29TH ST",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473025890",
"telephone_number": "765-282-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDEL-AZIZ",
"first_name": "MOHAMED WALEED",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26022055A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.