Individual provider Active NPI

Harvey P Rubin, R.PH.

  • Pharmacist
  • West Bloomfield, MI
National Provider Identifier
1477868040
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302021006 Issued in MI
Practice address
3361 S Shore Cir
West Bloomfield, MI 48323-1773
Phone
(734) 717-4020
Fax
(248) 626-0466
NPI assigned
Aug 8, 2010
Last updated
May 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302021006 MI Primary

Addresses

Primary practice location

3361 S Shore Cir
West Bloomfield, MI 48323-1773

Mailing address

3361 S Shore Cir
West Bloomfield, MI 48323-1773
Phone (734) 717-4020

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302021006MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1477868040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 S SHORE CIR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231773",
            "telephone_number": "734-717-4020",
            "fax_number": "248-626-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 S SHORE CIR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483231773",
            "telephone_number": "734-717-4020",
            "fax_number": "248-626-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "HARVEY",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302021006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.