Active NPI
Shatha Matti
- Pharmacist
- Waterford, MI
National Provider Identifier
1750765798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302028242
- Practice address
- 7362 Highland Road
Waterford, MI 48327 - Phone
- (248) 302-7919
- NPI assigned
- Jul 18, 2015
- 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 | 5302028242 | MI | Primary |
Addresses
Primary practice location
7362 Highland Road
Waterford, MI 48327
Mailing address
7362 Highland Road
Waterford, MI 48327
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 |
|---|---|---|---|
| 5302028242 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noble Care Apothecary | Current | Accepting new patients |
Locations
7362 Highland Rd
Waterford, MI 48327
Phone (248) 302-7919
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Waterford, MI
- NPI 1841674868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437177600000",
"number": "1750765798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7362 HIGHLAND ROAD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "48327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7362 HIGHLAND ROAD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "48327",
"telephone_number": "248-302-7919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTI",
"first_name": "SHATHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-18",
"last_updated": "2015-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.