Active NPI
Aram J Makkinejad
- Pharmacist
- Deckerville, MI
National Provider Identifier
1104440395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411994
- Practice address
- 2046 Black River St Ste 2
Deckerville, MI 48427-9448 - Phone
- (810) 376-8070
- Fax
- (810) 376-8071
- NPI assigned
- Jun 3, 2020
- Last updated
- Oct 11, 2024
- 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 | 5302411994 | MI | Primary |
Addresses
Primary practice location
2046 Black River St Ste 2
Deckerville, MI 48427-9448
Mailing address
281 Hartland Dr
Troy, MI 48083-5011
Phone (248) 525-1757
Other practice location 1
39 Kristian St
Sandusky, MI 48471-1035
Phone (810) 648-4668
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 |
|---|---|---|---|
| 5302411994 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selad Corporation | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
dba Rite Aid Pharmacy 04228
- Community/Retail Pharmacy
- Sandusky, MI
- NPI 1851400329
-
dba Aspire Deckerville Pharmacy
- Community/Retail Pharmacy
- Deckerville, MI
- NPI 1164733721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1104440395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 HARTLAND DR",
"city": "TROY",
"state": "MI",
"postal_code": "480835011",
"telephone_number": "248-525-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 BLACK RIVER ST STE 2",
"city": "DECKERVILLE",
"state": "MI",
"postal_code": "484279448",
"telephone_number": "810-376-8070",
"fax_number": "810-376-8071"
}
],
"practiceLocations": [
{
"address_1": "39 Kristian St",
"address_purpose": "LOCATION",
"city": "Sandusky",
"state": "MI",
"postal_code": "484711035",
"country_code": "US",
"telephone_number": "810-648-4668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKKINEJAD",
"first_name": "ARAM",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-03",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deckerville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.