Aram J Makkinejad
Individual provider Active NPI Pharmacist · Deckerville, MI
NPI 1104440395 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1104440395
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302411994 (MI)
- 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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411994 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past |
Accepting new patients | |
| Rite Aid of Michigan Inc | Past |
Accepting new patients | |
| Selad Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302411994 | MI | Yes |
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
Other providers in Deckerville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.