Active NPI
Taleen Haidar-Ahmad
- Pharmacist
- Van Buren TWP, MI
National Provider Identifier
1386355915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414753
- Practice address
- 10915 Belleville Rd
Van Buren TWP, MI 48111-1386 - Phone
- (734) 697-4000
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- 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 | 5302414753 | MI | Primary |
Addresses
Primary practice location
10915 Belleville Rd
Van Buren TWP, MI 48111-1386
Mailing address
7256 Wadebridge Dr
Canton, MI 48187-1253
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | tally.haidar@gmail.com | ||
| Direct Messaging Address | thaidara@umich.edu | Direct |
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 |
|---|---|---|---|
| 5302414753 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Current | Accepting new patients |
Locations
10915 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 697-4000
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": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1386355915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7256 WADEBRIDGE DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481871253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10915 BELLEVILLE RD",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481111386",
"telephone_number": "734-697-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIDAR-AHMAD",
"first_name": "TALEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414753",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "tally.haidar@gmail.com",
"affiliation": "N",
"address_1": "7256 Wadebridge Dr",
"city": "Canton",
"state": "MI",
"country_code": "US",
"postal_code": "481871253",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thaidara@umich.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10915 Belleville Rd",
"city": "Van Buren Twp",
"state": "MI",
"country_code": "US",
"postal_code": "481111386",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Van Buren TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.