Provider Demographics
NPI:1114359155
Name:MOHAMEDALI, ALI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:MOHAMEDALI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 COMMONS BLVD
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-1010
Mailing Address - Country:US
Mailing Address - Phone:585-425-2300
Mailing Address - Fax:
Practice Address - Street 1:7500 COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1010
Practice Address - Country:US
Practice Address - Phone:585-425-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058257183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist