Active NPI
Anila Mathew
- Pharmacist
- Shelby Township, MI
National Provider Identifier
1740039783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034474
- Practice address
- 49310 Van Dyke Ave Ste 100
Shelby Township, MI 48317-1337 - Phone
- (586) 884-7710
- NPI assigned
- May 13, 2024
- Last updated
- May 13, 2024
- Sex
- Female
- 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 | 5302034474 | MI | Primary |
Addresses
Primary practice location
49310 Van Dyke Ave Ste 100
Shelby Township, MI 48317-1337
Mailing address
1704 Blushing CT
Rochester Hills, MI 48307-3584
Phone (248) 495-9681
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 |
|---|---|---|---|
| 5302034474 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utica Pharmacy Inc | Past | 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": "1715558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1740039783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 BLUSHING CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073584",
"telephone_number": "248-495-9681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49310 VAN DYKE AVE STE 100",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483171337",
"telephone_number": "586-884-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "ANILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-13",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.