Mowlid Balayah, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

116706 Issued in MN

Practice address

12727 Leyte St NE
Blaine, MN 55449-6792

Phone

(651) 808-3568

Fax

(612) 341-2278

NPI assigned

Apr 23, 2014

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

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.

• Motion Rehab Physical Therapy LLC

  dba Motion Rehab Physical Therapy

  • Physical Therapist
  • Blaine, MN
  • NPI 1861985178
  NPD (past) Authorized official

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1962822429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061105",
            "telephone_number": "651-808-3568",
            "fax_number": "612-341-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 LEYTE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496792",
            "telephone_number": "651-808-3568",
            "fax_number": "612-341-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAYAH",
        "first_name": "MOWLID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "116706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mounir Ayoub
• Andrea Backstrom
• Wyatt Bader
• Nabil Baheza
• Genavieve Nicole Baklund, DC
• Isatou Baldeh, RN, BSN, PHN
• Bashir Barkadle
• Nasir Barkhadle
• Cheryl Lynn Barnes
• Richard Henry Barr, DDS

• Pharmacist in Blaine, MN
• Providers in Blaine, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.