Active NPI
Tahira Sanaullah
- Pharmacist
- Eastpointe, MI
National Provider Identifier
1811265028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302034719
- Practice address
- 17755 E 8 Mile Rd
Eastpointe, MI 48021-3131 - Phone
- (586) 778-7582
- Fax
- (586) 778-7663
- NPI assigned
- Dec 2, 2011
- 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 | 5302034719 | MI | Primary |
Addresses
Primary practice location
17755 E 8 Mile Rd
Eastpointe, MI 48021-3131
Mailing address
17755 8 Mile Rd
Eastpoint, MI 48021
Phone (248) 952-1425
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 |
|---|---|---|---|
| 5302034719 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1811265028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17755 8 MILE RD",
"city": "EASTPOINT",
"state": "MI",
"postal_code": "48021",
"telephone_number": "248-952-1425",
"fax_number": "248-952-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17755 E 8 MILE RD",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213131",
"telephone_number": "586-778-7582",
"fax_number": "586-778-7663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANAULLAH",
"first_name": "TAHIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.