Active NPI
Farah Osman
- Pharmacist
- Dearborn, MI
National Provider Identifier
1528544806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302045796
- Practice address
- 14715 Ford Rd
Dearborn, MI 48126 - Phone
- (313) 908-2212
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- 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 | 5302045796 | MI | Primary |
Addresses
Primary practice location
14715 Ford Rd
Dearborn, MI 48126
Mailing address
14715 Ford Rd
Dearborn, MI 48126-3040
Other practice location 1
5711 Schaefer Rd
Dearborn, MI 48126-2252
Phone (313) 581-2424
Other practice location 2
14715 Ford Rd
Dearborn, MI 48126
Phone (313) 908-2212
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 |
|---|---|---|---|
| 5302045796 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dearborn Apothecary LLC | Current | Accepting new patients | |
| Fakih Pharmacy Inc | Past | Accepting new patients |
Locations
14715 Ford Rd
Dearborn, MI 48126
Phone (313) 908-2212
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Dearborn, MI
- NPI 1417507336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1528544806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14715 FORD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14715 FORD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-908-2212"
}
],
"practiceLocations": [
{
"address_1": "5711 Schaefer Rd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481262252",
"country_code": "US",
"telephone_number": "313-581-2424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14715 Ford Rd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "48126",
"country_code": "US",
"telephone_number": "313-908-2212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSMAN",
"first_name": "FARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045796",
"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 Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.