1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MACKI MOHAMMED
NPI 1104510395
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since June 08, 2023
4902 N 19TH AVE, PHOENIX, AZ 85015(605) 214-8632 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Macki Mohammed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKI MOHAMMED (NPI 1104510395) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1104510395
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMACKI MOHAMMED
Location Address4902 N 19TH AVEPhoenix, AZ 85015-3440
Mailing Address7004 S 58th AveLaveen, AZ 85339-2265 · (605) 215-7364
Phone(605) 214-8632
Sole ProprietorNo
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1104510395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4902 N 19TH AVE, Phoenix, AZ 85015
Open in Google Maps ↗

Other Names 1

Former Name (1)Mustapha Mohammed

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITE NILE INC
Pharmacy (Community/Retail Pharmacy)
4902 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 995-8999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Macki Mohammed's NPI number?

The NPI number for Macki Mohammed is 1104510395. It was assigned to this individual provider in the NPPES registry on June 8, 2023. The provider is also known as Mustapha Mohammed.

Where is Macki Mohammed located?

Macki Mohammed practices at 4902 N 19th Ave, Phoenix, AZ 85015. The listed phone number is (605) 214-8632.

What is Macki Mohammed's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Macki Mohammed was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.