Active NPI
Eman Abdellatif
- Pharmacist
- West Bloomfield, MI
National Provider Identifier
1740934124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414095
- Practice address
- 4295 Orchard Lake Rd
West Bloomfield, MI 48323-1642 - Phone
- (248) 626-5434
- NPI assigned
- Feb 4, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 5302414095 | MI | Primary |
Addresses
Primary practice location
4295 Orchard Lake Rd
West Bloomfield, MI 48323-1642
Mailing address
3533 Academy St
Dearborn, MI 48124-3326
Phone (313) 960-6949
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 |
|---|---|---|---|
| 5302414095 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1740934124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 ACADEMY ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243326",
"telephone_number": "313-960-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4295 ORCHARD LAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231642",
"telephone_number": "248-626-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDELLATIF",
"first_name": "EMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.