Active NPI
Borhan Muthana, RPH
- Pharmacist
- Lincoln Park, MI
National Provider Identifier
1043183262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302415546
- Practice address
- 1158 Fort St
Lincoln Park, MI 48146-1840 - Phone
- (313) 307-2919
- NPI assigned
- Sep 24, 2025
- 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 | 5302415546 | MI | Primary |
Addresses
Primary practice location
1158 Fort St
Lincoln Park, MI 48146-1840
Mailing address
2731 Salina St
Dearborn, MI 48120-1591
Phone (313) 307-2919
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 |
|---|---|---|---|
| 5302415546 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1043183262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 SALINA ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201591",
"telephone_number": "313-307-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 FORT ST",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481461840",
"telephone_number": "313-307-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTHANA",
"first_name": "BORHAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.