Mohamed Ali Jalloh Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

30131 Issued in NC

Practice address

3703 Lawndale Dr
Greensboro, NC 27455-3001

Phone

(336) 540-1344

NPI assigned

Nov 8, 2021

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

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Askk LLC

  • Community/Retail Pharmacy
  • Winston Salem, NC
  • NPI 1134548415
  NPD (past)
• Askk LLC

  • Long Term Care Pharmacy
  • Winston Salem, NC
  • NPI 1417743634
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Greensboro, NC
  • NPI 1194730275
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1881359552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COLONNADE DR",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272447676",
            "telephone_number": "704-907-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553001",
            "telephone_number": "336-540-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3085 Waughtown St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271071634",
            "country_code": "US",
            "telephone_number": "336-830-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALLOH",
        "first_name": "MOHAMED",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "30131",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ASSOCIATION OF BOARDS OF PHARMACY",
            "identifier": "1217630",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "IntercomePlus",
            "affiliation": "N",
            "endpointDescription": "Electronic prescriptions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3703 Lawndale Dr",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274553001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PioneerRx",
            "affiliation": "N",
            "endpointDescription": "Electronic prescription",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3085 Waughtown St",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271071634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beth Harris Jaekle, RN
• Adam R. Jaffe, D.O.
• Tariqaziz Bashir Jah, DDS
• George Jahnes, LCSW-A
• Meera Karishma Jairath, DO
• Jamel D. Odeh DDS PA
• Jamela Hodgson
• James D. Kindl, MD PA
• James G Crawford
• James R Osborne DDS PA

• Pharmacist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.