Ahmad Aljanabbe
Individual provider Active NPI Pharmacist · Oak Park, MI
NPI 1306421185 · NPPES record last updated Mar 13, 2021
Key facts
- NPI
- 1306421185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302045972 (MI)
- Practice address
- 24850 Greenfield Rd
Oak Park, MI 48237-1599 - Phone
- (248) 968-2383
- Fax
- (248) 968-2388
- NPI assigned
- Mar 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302045972 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry Drug Stores Inc and Subsidiaries | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302045972 | MI | Yes |
Addresses
Primary practice location
24850 Greenfield Rd
Oak Park, MI 48237-1599
Mailing address
24850 Greenfield Rd
Oak Park, MI 48237-1599
Phone (248) 968-2383
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.