Active NPI
Yasir Altamimi, RPH
- Pharmacotherapy Pharmacist
- Ann Arbor, MI
National Provider Identifier
1760147524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302413956
- Practice address
- 3145 Ann Arbor Saline Rd
Ann Arbor, MI 48103-9711 - Phone
- (734) 997-3910
- NPI assigned
- Nov 5, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302413956 | MI | Primary |
Addresses
Primary practice location
3145 Ann Arbor Saline Rd
Ann Arbor, MI 48103-9711
Mailing address
6783 Winthrop St
Detroit, MI 48228-3767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134388 | Other | MI | MEIJER EMPLOYEE ID |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413956 | MI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1760147524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6783 WINTHROP ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482283767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 ANN ARBOR SALINE RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039711",
"telephone_number": "734-997-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAMIMI",
"first_name": "YASIR",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302413956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEIJER EMPLOYEE ID",
"identifier": "2134388",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.