Active NPI
Rand Sofia
- Pharmacist
- Livonia, MI
National Provider Identifier
1104428481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412352
- Practice address
- 15983 Middlebelt Rd
Livonia, MI 48154-3311 - Phone
- (734) 744-7636
- NPI assigned
- Nov 12, 2020
- Sex
- Female
- 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 | 5302412352 | MI | Primary |
Addresses
Primary practice location
15983 Middlebelt Rd
Livonia, MI 48154-3311
Mailing address
7033 Jenerous
Center Line, MI 48015-1108
Phone (619) 456-3966
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 |
|---|---|---|---|
| 5302412352 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1104428481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 JENEROUS",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151108",
"telephone_number": "619-456-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15983 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543311",
"telephone_number": "734-744-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOFIA",
"first_name": "RAND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.