Active NPI
Yassin Mohamed
- Pharmacist
- Dearborn, MI
National Provider Identifier
1063019099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412936
- Practice address
- 4216 Bingham St
Dearborn, MI 48126-3611 - Phone
- (313) 529-5228
- NPI assigned
- Oct 2, 2020
- 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 | 5302412936 | MI | Primary |
Addresses
Primary practice location
4216 Bingham St
Dearborn, MI 48126-3611
Mailing address
4216 Bingham St
Dearborn, MI 48126-3611
Phone (313) 529-5228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302412936 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aljalal LLC | Current | Accepting new patients |
Locations
15537 Schoolcraft St
Detroit, MI 48227
Phone (313) 529-5228
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1063019099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4216 BINGHAM ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263611",
"telephone_number": "313-529-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 BINGHAM ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263611",
"telephone_number": "313-529-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "YASSIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.