Active NPI
Mahmood Al Rawaf, RPH
- Pharmacist
- Warren, MI
National Provider Identifier
1205508645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302413884
- Practice address
- 26081 Hoover Rd
Warren, MI 48089-1148 - Phone
- (586) 754-7080
- NPI assigned
- Oct 4, 2021
- Reactivated
- Nov 8, 2022
- Sex
- Male
- 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 | 5302413884 | MI | Primary |
Addresses
Primary practice location
26081 Hoover Rd
Warren, MI 48089-1148
Mailing address
26081 Hoover Rd
Warren, MI 48089-1148
Phone (586) 754-7080
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413884 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1205508645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26081 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480891148",
"telephone_number": "586-754-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26081 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480891148",
"telephone_number": "586-754-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL RAWAF",
"first_name": "MAHMOOD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-04",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"deactivation_date": "2022-04-25",
"reactivation_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302413884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.