Active NPI
Nour Khalil
- Pharmacist
- Ann Arbor, MI
National Provider Identifier
1568145803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302415163
- Practice address
- 1700 S Industrial Hwy
Ann Arbor, MI 48104-4624 - Phone
- (734) 827-7980
- NPI assigned
- Aug 11, 2023
- Last updated
- Mar 26, 2026
- 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 | 5302415163 | MI | Primary |
Addresses
Primary practice location
1700 S Industrial Hwy
Ann Arbor, MI 48104-4624
Mailing address
11756 Landers Dr
Plymouth, MI 48170-3521
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 |
|---|---|---|---|
| 5302415163 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | 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": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1568145803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11756 LANDERS DR",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481703521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S INDUSTRIAL HWY",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044624",
"telephone_number": "734-827-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "NOUR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415163",
"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 Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.