Mohhanad Kossa

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202222141 Issued in VA

Practice address

4660 Monticello Ave
Williamsburg, VA 23188-8200

Phone

(757) 345-7253

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1891523858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JETTY DR APT B306",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231886657",
            "telephone_number": "202-425-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231888200",
            "telephone_number": "757-345-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSA",
        "first_name": "MOHHANAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202222141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George M Kokolski Jr., DO
• Katherine E Koman, OTL
• Rachel Komrek
• Bryce Taylor Koob, DPT
• Todd Korabek, A.T.C.
• Elisabeth Kostyk, MA.ED
• Dena Kota, PHARMD
• Katja Kox-Fishe
• Daniel Louis Koz, LPC
• Henry T Kozek, RPH, MPA

• Pharmacist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.