Active NPI
Oakman Plus Pharmacy
Doing business as Oakman Plus Health Mart Pharmacy
- Community/Retail Pharmacy
- Dearborn, MI
National Provider Identifier
1629257936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008725
- Legal business name
- OAKMAN PLUS PHARMACY
- Doing business as
- Oakman Plus Health Mart Pharmacy
- Practice address
- 5237 Oakman Blvd
Dearborn, MI 48126-4045 - Phone
- (313) 582-9700
- Fax
- (313) 852-9701
- NPI assigned
- Nov 2, 2007
- Last updated
- Oct 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mojeeb Shahbain, RPH
- Title
- Phcy MGR
- Phone
- (313) 300-8082
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301008725 | MI | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
5237 Oakman Blvd
Dearborn, MI 48126-4045
Mailing address
22236 Dolphin CT
Dearborn Heights, MI 48127-2555
Phone (313) 300-8082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2370435 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 2370435 | Medicaid | MI |
Other names 1
- OAKMAN PLUS HEALTH MART PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256688000000",
"number": "1629257936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22236 DOLPHIN CT",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272555",
"telephone_number": "313-300-8082",
"fax_number": "734-485-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5237 OAKMAN BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264045",
"telephone_number": "313-582-9700",
"fax_number": "313-852-9701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKMAN PLUS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-02",
"last_updated": "2009-10-28",
"status": "A",
"authorized_official_last_name": "SHAHBAIN",
"authorized_official_first_name": "MOJEEB",
"authorized_official_title_or_position": "PHCY MGR",
"authorized_official_telephone_number": "313-300-8082",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301008725",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2370435",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2370435",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OAKMAN PLUS HEALTH MART PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.