Active NPI
Mohammad Tamim
- Pharmacist
- Ukiah, CA
National Provider Identifier
1942661947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74487
- Practice address
- 1340 N State St
Ukiah, CA 95482-3420 - Phone
- (703) 231-0766
- NPI assigned
- Mar 18, 2016
- Last updated
- Mar 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 74487 | CA | Primary |
Addresses
Primary practice location
1340 N State St
Ukiah, CA 95482-3420
Mailing address
1340 N State St
Ukiah, CA 95482-3420
Phone (703) 231-0766
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
| License | State | Type | Specialty |
|---|---|---|---|
| 74487 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1942661947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 N STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823420",
"telephone_number": "703-231-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 N STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823420",
"telephone_number": "703-231-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMIM",
"first_name": "MOHAMMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-18",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
- Huong-Thy Ta
- Tabitha Kuehne, Licensed Marriage Family Child Therapist, a Professional Corporation
- Megan Brianna Talbert
- Philip Masao Tamanaha, M.D.
- Glynis G Tambornini, M.S., CCC-A
- Hendrik Ryan Lumakang Tan, DPM
- Robert Blake Tandy, D.D.S., M.S.
- Deborah L. Tannenbaum
- Tapestry Family Services
- Tapestry Family Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.