Active NPI
Tamadur Mohamed Ali, RPH
- Pharmacist
- Hilliard, OH
National Provider Identifier
1912528613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03439341
- Practice address
- 3775 Trueman CT
Hilliard, OH 43026-2496 - Phone
- (917) 808-1731
- NPI assigned
- May 4, 2020
- Last updated
- May 4, 2020
- Sex
- Female
- 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 | 03439341 | OH | Primary |
Addresses
Primary practice location
3775 Trueman CT
Hilliard, OH 43026-2496
Mailing address
3923 Sheffield CT
Toledo, OH 43623-3351
Phone (917) 808-1731
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 |
|---|---|---|---|
| 03439341 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix RX LLC | Current | Accepting new patients |
Organizations & group practices 1
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": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1912528613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 SHEFFIELD CT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233351",
"telephone_number": "917-808-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 TRUEMAN CT",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430262496",
"telephone_number": "917-808-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "TAMADUR",
"middle_name": "MOHAMED",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03439341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.