NPIMap

Individual provider Active NPI

Mohamed Ali Jalloh Jr.

  • Pharmacist
  • Greensboro, NC
National Provider Identifier
1881359552
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 30131 NC Primary

Addresses

Primary practice location

3703 Lawndale Dr
Greensboro, NC 27455-3001

Mailing address

205 Colonnade Dr
Elon, NC 27244-7676
Phone (704) 907-2405

Other practice location 1

3085 Waughtown St
Winston Salem, NC 27107-1634
Phone (336) 830-8774

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL IntercomePlus Health Information Exchange (HIE)
Other URL PioneerRx Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
30131NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Askk LLC Past Accepting new patients
Walgreen Co PastSince Nov 16, 2021 Accepting new patients
Askk LLC PastSince Apr 20, 2025 Accepting new patients
Walgreen Co PastSince Nov 16, 2021 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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": [],
    "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": []
}

Other providers in Greensboro, NC

Sources for this page

  • 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.