Active NPI
Rachad Al Ameen
- Pharmacist
- Dearborn, MI
National Provider Identifier
1326503798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302042180
- Practice address
- 15325 Michigan Ave
Dearborn, MI 48126-2954 - Phone
- (313) 582-9422
- NPI assigned
- Feb 9, 2019
- Last updated
- Dec 30, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 5302042180 | MI | Primary |
Addresses
Primary practice location
15325 Michigan Ave
Dearborn, MI 48126-2954
Mailing address
814 N Charlesworth St
Dearborn Heights, MI 48127-3612
Phone (313) 455-6869
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 |
|---|---|---|---|
| 5302042180 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1326503798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 N CHARLESWORTH ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273612",
"telephone_number": "313-455-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15325 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262954",
"telephone_number": "313-582-9422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL AMEEN",
"first_name": "RACHAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-09",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302042180",
"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 Dec 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.