Individual provider Active NPI

Mohamad Saab

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Coldwater, MI
National Provider Identifier
1689348211
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
5302042307 Issued in MI
Practice address
800 E Chicago St
Coldwater, MI 49036-2055
Phone
(517) 278-5897
NPI assigned
Aug 6, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5302042307 MI Primary

Addresses

Primary practice location

800 E Chicago St
Coldwater, MI 49036-2055

Mailing address

1307 Amboy St
Dearborn Heights, MI 48127-3303
Phone (313) 641-4444

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL walmart.com

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

State licenses

LicenseStateTypeSpecialty
5302042307MIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1689348211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 AMBOY ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273303",
            "telephone_number": "313-641-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362055",
            "telephone_number": "517-278-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAB",
        "first_name": "MOHAMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302042307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "walmart.com",
            "affiliation": "N",
            "address_1": "800 E Chicago St",
            "city": "Coldwater",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490362055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.