Active NPI
Amna Imad Mohammad, RPH
- Pharmacist
- Detroit, MI
National Provider Identifier
1023778552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412375
- Practice address
- 13031 Conant St
Detroit, MI 48212-2361 - Phone
- (313) 893-3339
- Fax
- (313) 893-3337
- NPI assigned
- Dec 24, 2021
- Sex
- Female
- 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 | 5302412375 | MI | Primary |
Addresses
Primary practice location
13031 Conant St
Detroit, MI 48212-2361
Mailing address
1150 Mystic Forest CT
Canton, MI 48187-2735
Phone (248) 719-2314
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 |
|---|---|---|---|
| 5302412375 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640304000000",
"number": "1023778552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 MYSTIC FOREST CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481872735",
"telephone_number": "248-719-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13031 CONANT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482122361",
"telephone_number": "313-893-3339",
"fax_number": "313-893-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMAD",
"first_name": "AMNA",
"middle_name": "IMAD",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-24",
"last_updated": "2021-12-24",
"certification_date": "2021-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412375",
"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 Dec 24, 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.