Individual provider Active NPI

Meral E-Abdulmenam Ebrahem, PHARMACIST

  • Pharmacist
  • Plymouth, MI
National Provider Identifier
1326743386
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302414947 Issued in MI
Practice address
14300 N Beck Rd
Plymouth, MI 48170-3377
Phone
(877) 689-8697
Fax
(734) 354-5992
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302414947 MI Primary

Addresses

Primary practice location

14300 N Beck Rd
Plymouth, MI 48170-3377

Mailing address

19055 Gill Rd
Livonia, MI 48152-3051
Phone (313) 333-8668

Other practice location 1

401 S Ballenger Hwy Fl 5
Flint, MI 48532-3638
Phone (810) 342-4545

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

LicenseStateTypeSpecialty
5302414947MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital - Flint Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1326743386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19055 GILL RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523051",
            "telephone_number": "313-333-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N BECK RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703377",
            "telephone_number": "877-689-8697",
            "fax_number": "734-354-5992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Ballenger Hwy Fl 5",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323638",
            "country_code": "US",
            "telephone_number": "810-342-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBRAHEM",
        "first_name": "MERAL",
        "middle_name": "E-ABDULMENAM",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.