Fadi N Anoni
Individual provider Active NPI Pharmacist · Milford, MI
NPI 1669988564 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1669988564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302042123 (MI)
- Practice address
- 640 N Milford Rd
Milford, MI 48381-1534 - Phone
- (248) 676-2497
- NPI assigned
- Dec 15, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302042123 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302042123 | MI | Yes |
Addresses
Primary practice location
640 N Milford Rd
Milford, MI 48381-1534
Mailing address
806 Majestic
Rochester Hills, MI 48306-3573
Phone (248) 922-0468
Other practice location 1
9741 Dixie Hwy
Clarkston, MI 48348-4145
Phone (248) 992-0468
Other providers in Milford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.