Active NPIIndividual providerSole proprietor

Nizamudeen Mohamed

Pharmacist in Somerdale, New Jersey

NPI Number1417558461
Practice location
1 Coopertowne Blvd, Somerdale, NJ 08083-1433
Fax
—
Last updated
November 5, 2020

Nizamudeen Mohamed is a Pharmacist based in Somerdale, NJ. Nizamudeen Mohamed practices in Somerdale, NJ. The NPI Number for Nizamudeen Mohamed is 1417558461 and holds a License No. 28ri03101500 (NJ). The current practice location address for Nizamudeen Mohamed is 1 Coopertowne Blvd, Somerdale, NJ 08083-1433 and can be reached out via phone at 856-545-9074.

Provider Profile Details

NPI Number
1417558461
Provider Name
Nizamudeen Mohamed
Provider Entity Type
Individual
Gender
Male
Address
1 Coopertowne Blvd, Somerdale, NJ 08083-1433
Phone Number
856-545-9074
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
November 5, 2020
Last Update Date
November 5, 2020
Certification Date
November 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Coopertowne Blvd
Somerdale, NJ 08083-1433
Zip
08083-1433
Phone Number
856-545-9074
Somerdale, NJ 08083Get directions →

Provider Business Mailing Address Details

Address
73 Blanchard RD
Marlton, NJ 08053-2918
City
Marlton
State
NJ
Zip
08053-2918
Phone Number
215-817-1142

License Information

License Number
28ri03101500
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nizamudeen Mohamed?

The NPI number of Nizamudeen Mohamed is 1417558461. It was assigned on November 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Nizamudeen Mohamed?

Nizamudeen Mohamed is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28ri03101500.

Where does Nizamudeen Mohamed practice?

The practice location is 1 Coopertowne Blvd, Somerdale, NJ 08083-1433. The office can be reached at 856-545-9074 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417558461 directly on the NPPES registry website.

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