Individual provider Active NPI

Jaafar Ahmad Barakat, RPH

  • Pharmacist
  • Dearborn, MI
National Provider Identifier
1639436967
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302028718 Issued in MI
Practice address
4971 Orchard Ave
Dearborn, MI 48126-4619
Phone
(313) 240-9700
Fax
(313) 204-9705
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302028718 MI Primary

Addresses

Primary practice location

4971 Orchard Ave
Dearborn, MI 48126-4619

Mailing address

18250 W Warren Ave
Detroit, MI 48228-3427
Phone (313) 240-9700

Other identifiers 1

IdentifierTypeStateIssuer
5302028718OtherMIPHARMACIST LISCENCE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302028718MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1639436967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283427",
            "telephone_number": "313-240-9700",
            "fax_number": "313-240-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 ORCHARD AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264619",
            "telephone_number": "313-240-9700",
            "fax_number": "313-204-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAKAT",
        "first_name": "JAAFAR",
        "middle_name": "AHMAD",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LISCENCE",
            "identifier": "5302028718",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 11, 2012; 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.