Individual provider Active NPI

Muhadia Rafi, PHARM.D

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1710597158
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302412565 Issued in MI
Practice address
40 E Alexandrine St
Detroit, MI 48201-2012
Phone
(313) 832-2050
Fax
(313) 832-2141
NPI assigned
Jul 31, 2020
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302412565 MI Primary

Addresses

Primary practice location

40 E Alexandrine St
Detroit, MI 48201-2012

Mailing address

2413 Florian St
Hamtramck, MI 48212-3411
Phone (313) 878-2963

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
5302412565MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Pharmacy & Medical Supply LLC PastSince Aug 2, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1710597158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 FLORIAN ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123411",
            "telephone_number": "313-878-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E ALEXANDRINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012012",
            "telephone_number": "313-832-2050",
            "fax_number": "313-832-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFI",
        "first_name": "MUHADIA",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; 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.