Active NPI
Arif Ali Khan
- Pharmacist
- Lincoln Park, MI
National Provider Identifier
1013549104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412216
- Practice address
- 2400 Fort St
Lincoln Park, MI 48146-2496 - Phone
- (313) 381-2400
- NPI assigned
- Feb 6, 2020
- Last updated
- Feb 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302412216 | MI | Primary |
Addresses
Primary practice location
2400 Fort St
Lincoln Park, MI 48146-2496
Mailing address
2400 Fort St
Lincoln Park, MI 48146-2496
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 |
|---|---|---|---|
| 5302412216 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1013549104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 FORT ST",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 FORT ST",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462496",
"telephone_number": "313-381-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ARIF",
"middle_name": "ALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
- Patrick James Kelly, DDS
- Kimberly Dean Kemp
- Kennedy Dental Center of Michigan, P.C. (Kennedy Dental Center)
- Khalil and Usen DPM PC (Family Foot and Ankle Specialist)
- Khalil and Usen DPM PC II (Family Foot and Ankle II)
- Fouad Ashhar Khan, DDS
- Mahmood Khan, M.D.
- Kid's First Pediatric Dentistry PC
- Katie Lynn Kiner, LLPC
- Mark Perry Kirsch, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.