Montaser Ahmed Mohammed Dafalla, RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

32855 Issued in NC

Practice address

300 E Cornwallis Dr
Greensboro, NC 27408-5104

Phone

(336) 275-9471

NPI assigned

Jan 11, 2024

Last updated

Jan 11, 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

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #12283

  • Pharmacy
  • Greensboro, NC
  • NPI 1083845259
  NPD
• Walgreen Co

  dba Walgreens #21605

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

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1932970514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 BRADDOCK RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659353",
            "telephone_number": "336-912-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E CORNWALLIS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085104",
            "telephone_number": "336-275-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED DAFALLA",
        "first_name": "MONTASER",
        "middle_name": "AHMED",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "32855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Rose Moffo, PA-C
• Mohamed Kamel Mohamed, M.D.
• Omar Hassan Mohamed
• Suleiman Haji Mohamed
• Mohammad Lawal Garba, MD, PA (Ladan Medical Center)
• Shahid Ahmed Mohammed, MD
• Riann Mohar
• Dorina Louise Mohite, LP
• Mohorn & Associates DDS PLLC (Mohorn Oral Surgery & Implant Center)
• Mohorn, Belcher & Gollehon, DDS. PA

• Community/Retail Pharmacy in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.