Active NPI
Mohamed Elmubarak, RPH
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1871243477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025328
- Practice address
- 18460 N 7TH St
Phoenix, AZ 85022-1108 - Phone
- (602) 993-5781
- NPI assigned
- Mar 25, 2022
- 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 | S025328 | AZ | Primary |
Addresses
Primary practice location
18460 N 7TH St
Phoenix, AZ 85022-1108
Mailing address
3945 W Geronimo St
Chandler, AZ 85226-4995
Phone (714) 331-0309
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S025328 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionmedmd LLC | Current | Accepting new patients | |
| German Dobson CVS LLC | Past | Accepting new patients | |
| German Dobson CVS LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Phoenix, AZ
- NPI 1801548169
-
- Pharmacy
- Queen Creek, AZ
- NPI 1639053374
-
- Pharmacy
- Phoenix, AZ
- NPI 1871697763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1871243477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3945 W GERONIMO ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852264995",
"telephone_number": "714-331-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18460 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850221108",
"telephone_number": "602-993-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMUBARAK",
"first_name": "MOHAMED",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.