Healthcare Provider Details

I. General information

NPI: 1003722653
Provider Name (Legal Business Name): MUSTAFA SAMI ALMUKHTAR RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 ROCKSIDE RD
CLEVELAND OH
44125-6134
US

IV. Provider business mailing address

33583 PARK PL
AVON LAKE OH
44012-4400
US

V. Phone/Fax

Practice location:
  • Phone: 216-369-2200
  • Fax: 877-355-7225
Mailing address:
  • Phone: 330-680-1008
  • Fax: 877-355-7225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03438394
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: