Active NPI
Farhin Ali Shohatee, CHPT
- Pharmacy Technician
- Dearborn, MI
National Provider Identifier
1023751666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 21031 Michigan Ave
Dearborn, MI 48124-2339 - Phone
- (313) 247-1080
- NPI assigned
- Apr 20, 2022
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | MI | Primary |
Addresses
Primary practice location
21031 Michigan Ave
Dearborn, MI 48124-2339
Mailing address
21031 Michigan Ave
Dearborn, MI 48124-2339
Phone (313) 247-1080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | farhan@eqmdmedical.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1023751666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-247-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21031 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242339",
"telephone_number": "313-247-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOHATEE",
"first_name": "FARHIN",
"middle_name": "ALI",
"name_prefix": "Mr.",
"credential": "CHPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-20",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "00000",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "farhan@eqmdmedical.com",
"affiliation": "N",
"address_1": "21031 Michigan Ave",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481242339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.