Individual provider Active NPI

Omar Mouabbi, PHARMD

  • Pharmacist
  • Dearborn, MI
National Provider Identifier
1245856277
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302041361 Issued in MI
Practice address
2035 Monroe St
Dearborn, MI 48124-2920
Phone
(313) 944-1050
Fax
(313) 944-1051
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302041361 MI Primary

Addresses

Primary practice location

2035 Monroe St
Dearborn, MI 48124-2920

Mailing address

703 S Rosedale CT
Grosse Pointe Woods, MI 48236-1146
Phone (313) 320-8027

Other practice location 1

300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 466-7218

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
5302041361MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Garden City Home Health PLLC CurrentSince Feb 16, 2025 Accepting new patients

Locations

2035 Monroe St
Dearborn, MI 48124
Phone (313) 228-0909

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1245856277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S ROSEDALE CT",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361146",
            "telephone_number": "313-320-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242920",
            "telephone_number": "313-944-1050",
            "fax_number": "313-944-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Warwick Dr",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "488011014",
            "country_code": "US",
            "telephone_number": "989-466-7218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUABBI",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; 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.