Individual provider Active NPI

Munif N Mawri

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1528567260
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302033297 Issued in MI
Practice address
13325 Livernois Ave
Detroit, MI 48238
Phone
(313) 397-7328
NPI assigned
Feb 8, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302033297 MI Primary

Addresses

Primary practice location

13325 Livernois Ave
Detroit, MI 48238

Mailing address

13325 Livernois Ave
Detroit, MI 48238-3876
Phone (313) 397-7358

Other identifiers 1

IdentifierTypeStateIssuer
802717718MedicaidMI

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
5302033297MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Express Discount Pharmacy LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1528567260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383876",
            "telephone_number": "313-397-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48238",
            "telephone_number": "313-397-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWRI",
        "first_name": "MUNIF",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802717718",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.