Active NPI
Mehadi Muhith
- Pharmacist
- Clinton Township, MI
National Provider Identifier
1265063119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411779
- Practice address
- 37050 S Gratiot Ave
Clinton Township, MI 48036-2700 - Phone
- (586) 463-3110
- NPI assigned
- Jan 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302411779 | MI | Primary |
Addresses
Primary practice location
37050 S Gratiot Ave
Clinton Township, MI 48036-2700
Mailing address
43889 Bayview Ave Apt 40308
Clinton Township, MI 48038-7073
Phone (313) 578-1743
Other practice location 1
37050 S Gratiot Ave
Clinton Township, MI 48036-2700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411779 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Current | Accepting new patients |
Locations
37050 S Gratiot Ave
Clinton Twp, MI 48036
Phone (586) 463-3110
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": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1265063119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43889 BAYVIEW AVE APT 40308",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480387073",
"telephone_number": "313-578-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37050 S GRATIOT AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480362700",
"telephone_number": "586-463-3110"
}
],
"practiceLocations": [
{
"address_1": "37050 S Gratiot Ave",
"address_purpose": "LOCATION",
"city": "Clinton Township",
"state": "MI",
"postal_code": "480362700",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUHITH",
"first_name": "MEHADI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.