NPIMap

Individual provider Active NPI

Adam Obaid

  • Pharmacist
  • Plymouth, MI
National Provider Identifier
1598489502
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302414794 Issued in MI
Practice address
800 Ann Arbor Rd W
Plymouth, MI 48170-2127
Phone
(734) 737-0218
NPI assigned
Oct 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302414794 MI Primary

Addresses

Primary practice location

800 Ann Arbor Rd W
Plymouth, MI 48170-2127

Mailing address

800 Ann Arbor Rd W
Plymouth, MI 48170-2127
Phone (734) 737-0218

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
5302414794MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medaid Pharmacy Current Accepting new patients
Rite Aid of Michigan Inc PastSince Oct 9, 2022 Accepting new patients
Rite Aid of Michigan Inc PastSince Oct 9, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1598489502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702127",
            "telephone_number": "734-737-0218",
            "fax_number": "734-737-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ANN ARBOR RD W",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702127",
            "telephone_number": "734-737-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBAID",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.