Active NPI
Ebaa Saad
- Pharmacist
- Ypsilanti, MI
National Provider Identifier
1124650197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 530244356
- Practice address
- 3749 Carpenter Rd
Ypsilanti, MI 48197-9809 - Phone
- (734) 975-4675
- NPI assigned
- Feb 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 530244356 | MI | Primary |
Addresses
Primary practice location
3749 Carpenter Rd
Ypsilanti, MI 48197-9809
Mailing address
3749 Carpenter Rd
Ypsilanti, MI 48197-9809
Phone (734) 975-4675
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 |
|---|---|---|---|
| 530244356 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1124650197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3749 CARPENTER RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481979809",
"telephone_number": "734-975-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3749 CARPENTER RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481979809",
"telephone_number": "734-975-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAD",
"first_name": "EBAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MI",
"license": "530244356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.