Abdullah Mattit

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Practice address

49485 Ann Arbor Rd W
Plymouth, MI 48170-3206

Phone

(734) 354-9220

NPI assigned

Apr 15, 2021

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

Practice roles

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.

• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Plymouth, MI
  • NPI 1972605269
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1013598820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 HARTWELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263310",
            "telephone_number": "313-898-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49485 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703206",
            "telephone_number": "734-354-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIT",
        "first_name": "ABDULLAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Dearl Mathis, D.C.
• Rebecca Matranga, MA, LPC, NCC
• Susan Ann Matson, OTR
• Aliza Matthew, MS, OTD, OTR/L
• Myriah Matthews
• Kenneth Mattson, CCP
• Joseph Mattucci
• Adina Matuszczyk
• Meredith Riggan Maurer, MA LPC
• Liliana Maya

• Community/Retail Pharmacy in Plymouth, MI
• Providers in Plymouth, 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 Apr 15, 2021; 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.