Mohammed Saiful Islam

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302035943 Issued in MI

Practice address

305 E State St
Cassopolis, MI 49031-1328

Phone

(269) 445-5369

Fax

(269) 445-5369

NPI assigned

Apr 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Michigan Inc

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)
• Rite Aid of Michigan Inc

  • Community/Retail Pharmacy
  • Cassopolis, MI
  • NPI 1942319405
  NPD (past)

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1245973353",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "987 BANWELL RD",
            "city": "WINDSOR",
            "state": "ONTARIO",
            "postal_code": "N8P 1J3"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E STATE ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490311328",
            "telephone_number": "269-445-5369",
            "fax_number": "269-445-5369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E State St",
            "address_purpose": "LOCATION",
            "city": "Cassopolis",
            "state": "MI",
            "postal_code": "490311328",
            "country_code": "US",
            "telephone_number": "269-445-5369",
            "fax_number": "269-445-5369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E State St",
            "address_purpose": "LOCATION",
            "city": "Cassopolis",
            "state": "MI",
            "postal_code": "490311328",
            "country_code": "US",
            "telephone_number": "269-445-5369",
            "fax_number": "269-445-5369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E State St",
            "address_purpose": "LOCATION",
            "city": "Cassopolis",
            "state": "MI",
            "postal_code": "490311328",
            "country_code": "US",
            "telephone_number": "269-445-5369",
            "fax_number": "269-445-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAIFUL ISLAM",
        "first_name": "MOHAMMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-16",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302035943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "305 E State St",
            "city": "Cassopolis",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490311328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kinsey Rayburn
• Ruby Marie Rideout, LMSW
• Rite Aid of Michigan Inc
• Johanna Rose, SLP
• Timothy Charles Rosenboom, M. DIV.
• Suzanne Salisbury
• Sally J Scafaria, LBSW
• Chelsea Scapino
• Rachel Schiman, LMSW
• Sybil Elyse Schultz, MA

• Pharmacist in Cassopolis, MI
• Providers in Cassopolis, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.