Active NPI
Marwah Hussein Dabaja
- Pharmacist
- Ann Arbor, MI
National Provider Identifier
1437896537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412783
- Practice address
- 2100 W Stadium Blvd
Ann Arbor, MI 48103-4544 - Phone
- (734) 747-7554
- NPI assigned
- May 19, 2022
- Last updated
- May 19, 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 | 5302412783 | MI | Primary |
Addresses
Primary practice location
2100 W Stadium Blvd
Ann Arbor, MI 48103-4544
Mailing address
2222 Kinmore St
Dearborn Heights, MI 48127-3417
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 |
|---|---|---|---|
| 5302412783 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitten Meds Pharmacy Corp | Current | Accepting new patients | |
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Wyandotte, MI
- NPI 1124976295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1437896537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 KINMORE ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W STADIUM BLVD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481034544",
"telephone_number": "734-747-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABAJA",
"first_name": "MARWAH",
"middle_name": "HUSSEIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.