Fadia Mohamed Lightfoot, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302027012 Issued in MI

Practice address

2249 N Canton Center Rd
Canton, MI 48187-2954

Phone

(734) 844-3598

Fax

(734) 844-1535

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Michigan Inc

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750500096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49751 FLUSHING AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881980",
            "telephone_number": "734-981-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872954",
            "telephone_number": "734-844-3598",
            "fax_number": "734-844-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "FADIA",
        "middle_name": "MOHAMED",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302027012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Ann Lewis, M.A.
• Angela C. Liang, MD
• Liberty Home Healthcare Services
• Luiza Lica
• Hartlee Grace Johnston Lidsky, MD, MPH
• Christine Collette Lindsey, D.C.
• Gary R Liskinski, DDS
• Olivia Rose Livernois, MSN, FNP-BC
• Daniel Livingston
• Jeffrey L Livingston

• Pharmacist in Canton, MI
• Providers in Canton, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.