Individual provider Active NPI

Amal Shuayto, PHARMACIST

  • Ambulatory Care Pharmacist
  • Harper Woods, MI
National Provider Identifier
1902340524
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
5302410832 Issued in MI
Practice address
19959 Vernier Rd Ste 100
Harper Woods, MI 48225-1471
Phone
(313) 521-7000
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 5302410832 MI Primary

Addresses

Primary practice location

19959 Vernier Rd Ste 100
Harper Woods, MI 48225-1471

Mailing address

19959 Vernier Rd Ste 100
Harper Woods, MI 48225-1471
Phone (313) 521-7000

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

LicenseStateTypeSpecialty
5302410832MIMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Woods Medical Pharmacy LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1902340524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19959 VERNIER RD STE 100",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251471",
            "telephone_number": "313-521-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19959 VERNIER RD STE 100",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251471",
            "telephone_number": "313-521-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUAYTO",
        "first_name": "AMAL",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MI",
            "license": "5302410832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.