Individual provider Active NPI

Niveen Dabaja, PHARMD

  • Pharmacist
  • Dearborn, MI
National Provider Identifier
1750007613
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302414825 Issued in MI
Practice address
5650 Schaefer Rd
Dearborn, MI 48126-2253
Phone
(313) 581-3280
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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
5302414825MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Drug Stores Inc PastSince Oct 16, 2022 Accepting new patients
Apex Drug Stores Inc PastSince Oct 16, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302414825 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

5650 Schaefer Rd
Dearborn, MI 48126-2253

Mailing address

5650 Schaefer Rd
Dearborn, MI 48126-2253
Phone (313) 581-3280

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL other Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2022.

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1750007613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262253",
            "telephone_number": "313-581-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262253",
            "telephone_number": "313-581-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAJA",
        "first_name": "NIVEEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5650 Schaefer Rd",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481262253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.