Organization Active NPI

Oakman Plus Pharmacy

Doing business as Oakman Plus Health Mart Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1629257936
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008725 Issued in MI
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2370435OtherNCPDP PROVIDER IDENTIFICATION NUMBER
2370435MedicaidMI

Other names 1

  • OAKMAN PLUS HEALTH MART PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.