Active NPI
Anwar Alefnain
- Pharmacist
- Van Buren TWP, MI
National Provider Identifier
1730708611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412065
- Practice address
- 10915 Belleville Rd
Van Buren TWP, MI 48111-1386 - Phone
- (734) 697-4000
- NPI assigned
- Apr 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302412065 | MI | Primary |
Addresses
Primary practice location
10915 Belleville Rd
Van Buren TWP, MI 48111-1386
Mailing address
4645 Korte St
Dearborn, MI 48126-4107
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302412065 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Current | Accepting new patients |
Locations
10915 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 697-4000
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": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1730708611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 KORTE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481264107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10915 BELLEVILLE RD",
"city": "VAN BUREN TWP",
"state": "MI",
"postal_code": "481111386",
"telephone_number": "734-697-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEFNAIN",
"first_name": "ANWAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.