Active NPI
Eihab Z Swidan, PHARMD
- Pharmacist
- Ypsilanti, MI
National Provider Identifier
1568586139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302029783
- Practice address
- 8768 Textile Rd
Ypsilanti, MI 48197-7069 - Phone
- (734) 657-9769
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 5302029783 | MI | Primary |
Addresses
Primary practice location
8768 Textile Rd
Ypsilanti, MI 48197-7069
Mailing address
8768 Textile Rd
Ypsilanti, MI 48197-7069
Phone (734) 657-9769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302029783 | Other | MI | RPH LICENSE NUMBER |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302029783 | MI | MD | Pharmacist |
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": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568586139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8768 TEXTILE RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481977069",
"telephone_number": "734-657-9769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8768 TEXTILE RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481977069",
"telephone_number": "734-657-9769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWIDAN",
"first_name": "EIHAB",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302029783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE NUMBER",
"identifier": "5302029783",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.