Individual provider Active NPI

Naif Bazzi

  • Pharmacist
  • Livonia, MI
National Provider Identifier
1184180119
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302412078 Issued in MI
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

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5302412078MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Value RX, LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.