Active NPI
Syed Aftab
- Pharmacist
- Dowagiac, MI
National Provider Identifier
1144788043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302043309
- Practice address
- 102 State Rd
Dowagiac, MI 49047-1041 - Phone
- (269) 782-2962
- NPI assigned
- Mar 9, 2019
- Last updated
- Mar 9, 2019
- 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 | 5302043309 | MI | Primary |
Addresses
Primary practice location
102 State Rd
Dowagiac, MI 49047-1041
Mailing address
102 State Rd
Dowagiac, MI 49047-1041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5315194888 | Other | MI | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 5302043309 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Drug Stores Inc | Past | Accepting new patients | |
| Apex Drug Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
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 04401
- Community/Retail Pharmacy
- Dowagiac, MI
- NPI 1760405229
-
dba Rite Aid Pharmacy 04432
- Community/Retail Pharmacy
- Farmington Hills, MI
- NPI 1932115235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552089600000",
"number": "1144788043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 STATE RD",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 STATE RD",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471041",
"telephone_number": "269-782-2962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFTAB",
"first_name": "SYED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-09",
"last_updated": "2019-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302043309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "5315194888",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dowagiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.