Individual provider Active NPI

Alexander A Rababeh, PHARMD

  • Pharmacist
  • West Bloomfield, MI
National Provider Identifier
1639849482
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5315216942 Issued in MI
Practice address
2300 Haggerty Rd Ste 1070
West Bloomfield, MI 48323-2185
Phone
(248) 668-1212
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5315216942 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd Ste 1070
West Bloomfield, MI 48323-2185

Mailing address

16459 Johnson Creek Dr
Northville, MI 48168-8002
Phone (248) 719-5363

Other identifiers 1

IdentifierTypeStateIssuer
1639849482OtherMINPPES

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

LicenseStateTypeSpecialty
5315216942MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jans Discount Pharmacy Inc CurrentSince Feb 12, 2023 Accepting new patients

Locations

2300 Haggerty Rd
Ste 1070
West Bloomfield, MI 48323
Phone (248) 668-1212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1639849482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16459 JOHNSON CREEK DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688002",
            "telephone_number": "248-719-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD STE 1070",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232185",
            "telephone_number": "248-668-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABABEH",
        "first_name": "ALEXANDER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315216942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1639849482",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.