Individual provider Active NPI

Main Maitah, RPH

  • Pharmacist
  • Livonia, MI
National Provider Identifier
1245643014
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302037681 Issued in MI
Practice address
8883 Knolson Ave
Livonia, MI 48150-3309
Phone
(248) 635-3303
NPI assigned
Jun 9, 2014
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302037681 MI Primary

Addresses

Primary practice location

8883 Knolson Ave
Livonia, MI 48150-3309

Mailing address

8883 Knolson Ave
Livonia, MI 48150-3309
Phone (248) 635-3303

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

LicenseStateTypeSpecialty
5302037681MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
GM Consultation, LLC PastSince Jul 25, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1245643014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8883 KNOLSON AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503309",
            "telephone_number": "248-635-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8883 KNOLSON AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503309",
            "telephone_number": "248-635-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITAH",
        "first_name": "MAIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037681",
            "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 Feb 24, 2026; 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.