Active NPI
Akram Obeid
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Dearborn, MI
National Provider Identifier
1790253177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5302032545
- Practice address
- 4700 Schaefer Rd Ste 162
Dearborn, MI 48126-3655 - Phone
- (313) 584-7800
- Fax
- (313) 584-7833
- NPI assigned
- Nov 5, 2018
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302032545 | MI | Primary |
Addresses
Primary practice location
4700 Schaefer Rd Ste 162
Dearborn, MI 48126-3655
Mailing address
4700 Schaefer Rd Ste 162
Dearborn, MI 48126-3655
Phone (313) 584-7800
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 |
|---|---|---|---|
| 5302032545 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Pharmacy LLC | Current | Accepting new patients |
Locations
4700 Schaefer Rd
Ste 162
Dearborn, MI 48126
Phone (313) 584-7800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1790253177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 SCHAEFER RD STE 162",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263655",
"telephone_number": "313-584-7800",
"fax_number": "313-584-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SCHAEFER RD STE 162",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263655",
"telephone_number": "313-584-7800",
"fax_number": "313-584-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBEID",
"first_name": "AKRAM",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302032545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.