Individual provider Active NPI

Robert Harb, RPH

  • Pharmacist
  • Bloomfield Hills, MI
National Provider Identifier
1073804936
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302410758 Issued in MI
Practice address
359 Enterprise CT Ste D
Bloomfield Hills, MI 48302-1055
Phone
(248) 454-6500
Fax
(248) 454-6560
NPI assigned
Apr 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302410758 MI Primary

Addresses

Primary practice location

359 Enterprise CT Ste D
Bloomfield Hills, MI 48302-1055

Mailing address

359 Enterprise CT Ste D
Bloomfield Hills, MI 48302-1055
Phone (248) 454-6500

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

LicenseStateTypeSpecialty
5302410758MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Park Pharmacy Inc Current Accepting new patients
Village Pharmacy Compounding 4 Inc Current Accepting new patients

Organizations & group practices 2

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1073804936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 ENTERPRISE CT STE D",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021055",
            "telephone_number": "248-454-6500",
            "fax_number": "248-454-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 ENTERPRISE CT STE D",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021055",
            "telephone_number": "248-454-6500",
            "fax_number": "248-454-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARB",
        "first_name": "ROBERT",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302410758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.