Shaima Aldaibil
Individual provider Active NPI Pharmacist · Detroit, MI
NPI 1750005591 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1750005591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302413740 (MI)
- Practice address
- 19851 W Warren Ave
Detroit, MI 48228-3247 - Phone
- (313) 271-4050
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413740 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302413740 | MI | Yes |
Addresses
Primary practice location
19851 W Warren Ave
Detroit, MI 48228-3247
Mailing address
19851 W Warren Ave
Detroit, MI 48228-3247
Phone (313) 271-4050
NPI Registry JSON
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1750005591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19851 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482283247",
"telephone_number": "313-271-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19851 W WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482283247",
"telephone_number": "313-271-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDAIBIL",
"first_name": "SHAIMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302413740",
"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. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.