Individual provider Active NPI

Armin Nikkhah Shirazi, R.PH

  • Pharmacist
  • Ann Arbor, MI
National Provider Identifier
1700011624
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302029553 Issued in MI
Practice address
1918 Pontiac TRL
Ann Arbor, MI 48105-1222
Phone
(734) 474-1434
NPI assigned
May 21, 2009
Last updated
May 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302029553 MI Primary

Addresses

Primary practice location

1918 Pontiac TRL
Ann Arbor, MI 48105-1222

Mailing address

1918 Pontiac TRL
Ann Arbor, MI 48105-1222
Phone (734) 474-1434

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
5302029553MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1700011624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 PONTIAC TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051222",
            "telephone_number": "734-474-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 PONTIAC TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051222",
            "telephone_number": "734-474-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKKHAH SHIRAZI",
        "first_name": "ARMIN",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.