Mohamed Ali Saneh

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302411917 Issued in MI

Practice address

4515 Corunna Rd
Flint, MI 48532-4317

Phone

(810) 732-7011

NPI assigned

Sep 23, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center Street Pharmacy PLLC

  dba Center Street Pharmacy

  • Community/Retail Pharmacy
  • Northville, MI
  • NPI 1043109259
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1134770076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SANDALWOOD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883028",
            "telephone_number": "734-846-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324317",
            "telephone_number": "810-732-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANEH",
        "first_name": "MOHAMED ALI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302411917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "direct",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pharmacy",
            "address_1": "4515 Corunna Rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485324317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marquis Sanders
• Shavon Sanders
• Tariya Ra Sanders, LMSW-C
• Jennifer Rose Sanderson
• Jason Sandford
• Quanesa Sanford, RDH
• Rajalakshmi Sankaran, M.D.
• Ravi Sankaran, MD
• Sisira Santhosh
• Jon A. Santiago,, MD

• Pharmacist in Flint, MI
• Providers in Flint, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.