Active NPI
Naif Bazzi
- Pharmacist
- Livonia, MI
National Provider Identifier
1184180119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412078
- Practice address
- 20434 Farmington Rd
Livonia, MI 48152-1416 - Phone
- (248) 478-3922
- Fax
- (248) 478-3923
- NPI assigned
- Feb 14, 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 | 5302412078 | MI | Primary |
Addresses
Primary practice location
20434 Farmington Rd
Livonia, MI 48152-1416
Mailing address
28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Phone (586) 871-2727
Other practice location 1
13604 w. warren
dearborn, MI 48126
Phone (313) 624-9530
Other practice location 2
28001 Harper Ave
Saint Clair Shores, MI 48081-1561
Phone (586) 871-2727
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 |
|---|---|---|---|
| 5302412078 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Value RX, LLC | Current | Accepting new patients |
Interoperability endpoints
- natebazzi@farmingtondrugsandmedicalsupply.libertysoftwaredirect.com
Organizations & group practices 4
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.
-
- Specialty Pharmacy
- Livonia, MI
- NPI 1578347381
-
- Long Term Care Pharmacy
- Livonia, MI
- NPI 1093456329
-
- Community/Retail Pharmacy
- Livonia, MI
- NPI 1417285404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1184180119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28001 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811561",
"telephone_number": "586-871-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20434 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521416",
"telephone_number": "248-478-3922",
"fax_number": "248-478-3923"
}
],
"practiceLocations": [
{
"address_1": "13604 w. warren",
"address_purpose": "LOCATION",
"city": "dearborn",
"state": "MI",
"postal_code": "48126",
"country_code": "US",
"telephone_number": "313-624-9530",
"fax_number": "313-624-9614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28001 Harper Ave",
"address_purpose": "LOCATION",
"city": "Saint Clair Shores",
"state": "MI",
"postal_code": "480811561",
"country_code": "US",
"telephone_number": "586-871-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAZZI",
"first_name": "NAIF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-14",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.