Shah Alam Bhuiyan

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5302037191 Issued in MI

Practice address

24831 Ryan Rd
Warren, MI 48091-3390

Phone

(586) 486-5037

NPI assigned

Aug 1, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• US Bangla Corporation

  • Community/Retail Pharmacy
  • Warren, MI
  • NPI 1336664283
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1013431014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 TIMBERCREST DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836813",
            "telephone_number": "248-740-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24831 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913390",
            "telephone_number": "586-486-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUIYAN",
        "first_name": "SHAH",
        "middle_name": "ALAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5302037191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond and Amazing,LLC
• Alyssa D Bezz, BEHAVIOR TECHNICIAN
• BG Tricounty Neurology& Sleep Clinic PC
• Bhanu J. Shah MD PC
• Usha Bhatt
• Suman Preet Kaur Bhullar, M.D.
• Bi County Clinical Practices
• Bi County Clinical Practices
• Bi County Medical Practices
• Bi County Medical Practices

• Community/Retail Pharmacy in Warren, MI
• Providers in Warren, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.