Active NPI
Sipu Miah, RPH
- Pharmacist
- Detroit, MI
National Provider Identifier
1013566538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411784
- Practice address
- 7843 W Vernor Hwy
Detroit, MI 48209-1517 - Phone
- (313) 554-4491
- NPI assigned
- Sep 6, 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 | 5302411784 | MI | Primary |
Addresses
Primary practice location
7843 W Vernor Hwy
Detroit, MI 48209-1517
Mailing address
26820 Grobbel Ave
Warren, MI 48091-1262
Phone (313) 633-4579
Other practice location 1
26820 Grobbel Ave
Warren, MI 48091-1262
Phone (313) 633-4579
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411784 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Detroit, MI
- NPI 1578672051
-
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1013566538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26820 GROBBEL AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480911262",
"telephone_number": "313-633-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7843 W VERNOR HWY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482091517",
"telephone_number": "313-554-4491"
}
],
"practiceLocations": [
{
"address_1": "26820 Grobbel Ave",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480911262",
"country_code": "US",
"telephone_number": "313-633-4579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIAH",
"first_name": "SIPU",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.