Active NPI
Mohamed Barry, PHARMD, RPH
- Pharmacist
- Palm Coast, FL
National Provider Identifier
1962858332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54053
- Practice address
- 28 Old Kings Rd N
Unit B
Palm Coast, FL 32137-8226 - Phone
- (386) 447-8944
- Fax
- (386) 447-8940
- NPI assigned
- May 4, 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 | PS54053 | FL | Primary |
Addresses
Primary practice location
28 Old Kings Rd N
Unit B
Palm Coast, FL 32137-8226
Mailing address
28 Old Kings Rd N
Unit B
Palm Coast, FL 32137-8226
Phone (386) 447-8944
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS54053 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1962858332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 OLD KINGS RD N",
"address_2": "UNIT B",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378226",
"telephone_number": "386-447-8944",
"fax_number": "386-447-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 OLD KINGS RD N",
"address_2": "UNIT B",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378226",
"telephone_number": "386-447-8944",
"fax_number": "386-447-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "MOHAMED",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.