Sonia Riyadh Eliya, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302034162 Issued in MI

Practice address

2799 W Grand Blvd
Detroit, MI 48202-2608

Phone

(248) 217-5315

NPI assigned

Feb 28, 2018

Last updated

Jun 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sonia Riyadh Jiddou Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Superior Compounding Pharmacy LLC

  dba Superior Compounding Pharmacy

  • Specialty Pharmacy
  • Plymouth, MI
  • NPI 1093216616
  NPD (past)
• Superior Compounding Pharmacy LLC

  • Long Term Care Pharmacy
  • Plymouth, MI
  • NPI 1841968443
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1255832861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD BSMT PHARMACY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "248-217-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "248-217-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIYA",
        "first_name": "SONIA",
        "middle_name": "RIYADH",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "JIDDOU",
            "middle_name": "RIYADH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elite of Care Services, Inc
• Elite Physical Therapy and Rehabilitation, LLC
• Elite Reliable Care Services
• Elite Services (Elite Senior Services)
• Elite Woundcare Associates PLLC
• Abrahem Eljahmi
• Hadil Eljammali
• Valerie Jean Elkins
• Robert M. Elkus, M.D.
• Ella Butlers Adult Care

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.