Active NPI
Ziaullah Syed
- Pharmacist
- Lincoln Park, MI
National Provider Identifier
1003372525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034723
- Practice address
- 4150 Dix Hwy
Lincoln Park, MI 48146-4030 - Phone
- (313) 382-3802
- Fax
- (313) 382-3804
- NPI assigned
- Feb 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302034723 | MI | Primary |
Addresses
Primary practice location
4150 Dix Hwy
Lincoln Park, MI 48146-4030
Mailing address
4150 Dix Hwy
Lincoln Park, MI 48146-4030
Phone (313) 382-3802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336443126 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302034723 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Park Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lincoln Park, MI
- NPI 1336443126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1003372525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 DIX HWY",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481464030",
"telephone_number": "313-382-3802",
"fax_number": "313-382-3804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 DIX HWY",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481464030",
"telephone_number": "313-382-3802",
"fax_number": "313-382-3804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYED",
"first_name": "ZIAULLAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-20",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336443126",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.