Individual provider Active NPI

Matiur Rahman Bhuiya, PHARM D

  • Pharmacotherapy Pharmacist
  • Mt Pleasant, MI
National Provider Identifier
1245636356
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
5302040872 Issued in MI
Practice address
2125 S Mission St
Mt Pleasant, MI 48858-4426
Phone
(989) 773-6991
Fax
(989) 779-8091
NPI assigned
Nov 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 5302040872 MI Primary

Addresses

Primary practice location

2125 S Mission St
Mt Pleasant, MI 48858-4426

Mailing address

301 E Edgewood Blvd Apt 8
Lansing, MI 48911-5808
Phone (260) 312-8905

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302040872MIMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1245636356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E EDGEWOOD BLVD APT 8",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115808",
            "telephone_number": "260-312-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S MISSION ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488584426",
            "telephone_number": "989-773-6991",
            "fax_number": "989-779-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUIYA",
        "first_name": "MATIUR",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302040872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.