Khaled Mahmoud Safwat Bedair

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

83585 Issued in CA

Practice address

575 Saturn Blvd
San Diego, CA 92154-4731

Phone

(619) 205-6147

NPI assigned

Dec 14, 2020

Last updated

Jun 14, 2022By 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

Other identifiers 1

Other names 1

• Khaled Mahmoud Safwat Mahmoud Bedair Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Eldahmy Wellness Pharmacy Inc.

  • Long Term Care Pharmacy
  • San Diego, CA
  • NPI 1003374554
  NPD (past)
• Eldahmy Wellness Pharmacy Inc.

  dba Eldahmy Wellness Pharmacy

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1184139834
  NPD (past)

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1932795986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 SATURN BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921544731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 SATURN BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921544731",
            "telephone_number": "619-205-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDAIR",
        "first_name": "KHALED",
        "middle_name": "MAHMOUD SAFWAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "83585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PHARMACY",
            "identifier": "83585",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALED",
            "last_name": "MAHMOUD BEDAIR",
            "middle_name": "MAHMOUD SAFWAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Beckwith
• Becoming Known Therapy
• James Robert Becroft, DC
• Agnes Beda
• Grace P Beda
• Raymond Lee Bedard, IDC
• Sandra K Beddor, D.C.
• Kalyn Mercedes Bedel, IDC
• Ronald Melvin Bedford Jr., NP-C
• Raschelle Bednarski

• Community/Retail Pharmacy in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.