MOHAMED SALLOUT (NPI# 1225571482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225571482 |
| Entity Type | Individual |
| Full Name | MOHAMED SALLOUT |
| Credential | PHARMD. |
| Practice Address |
Va Salt Lake City Mail Code 110 Poc 500 Foothill Blvd Salt Lake City UT 84148-0001 |
| Practice Telephone | 8015821565 |
| Practice Fax Number | 8015842527 |
| Mailing Telephone | 8015821565 |
| Mailing Fax Number | 8015842527 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
P6733 | ID | Pharmacy Service Providers |
| Street Address |
VA SALT LAKE CITY MAIL CODE 110 POC 500 FOOTHILL BLVD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092249 | William Albert Jones | Pharmacist | 6173 S Haven Moor Cir, Salt Lake City, UT 84121-6525 | 2020-10-27 |
| 1639795198 | Jennifer Babin | Pharmacist | 30 S 2000 E Rm 4779, Salt Lake City, UT 84112-5820 | 2020-06-21 |
| 1720410624 | Brianne Marie Wolfe | Pharmacist | 2641 E Stringham Ave Apt 301c, Salt Lake City, UT 84109-3984 | 2013-08-01 |
| 1477789022 | Angela Kristine Flint | Pharmacist | George E Wahlen Veterans Affiars Medical Ctr, 500 Foothill Drive - 119, Salt Lake City, UT 84148-0001 | 2009-06-09 |
| 1902407240 | David Andrew Feolo | Pharmacist | 845 E 4500 S, Salt Lake City, UT 84107-3049 | 2020-11-03 |
| 1376150953 | Annette Sprankle | Pharmacist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2020-09-28 |
| 1922611961 | Joseph Eli Bergen | Pharmacist | 555 Foothill Dr, Salt Lake City, UT 84112-1106 | 2020-08-28 |
| 1790305795 | Reham Simon Khoury | Pharmacist | 922 E 2100 S, Salt Lake City, UT 84106-2364 | 2020-04-20 |
| 1851942080 | Claire Jean Benvegu | Pharmacist | 455 S 500 E, Salt Lake City, UT 84102-2753 | 2019-09-29 |
| 1851945091 | Hannah Rebecca Fudin | Pharmacist | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2019-07-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84148 |
Please comment or provide details below to improve the information on MOHAMED SALLOUT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.