Active NPI
Rand Daboul
- Pharmacist
- Frankenmuth, MI
National Provider Identifier
1902590771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302415040
- Practice address
- 111 N Main St
Frankenmuth, MI 48734-1109 - Phone
- (989) 652-8001
- NPI assigned
- Jun 5, 2023
- 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 | 5302415040 | MI | Primary |
Addresses
Primary practice location
111 N Main St
Frankenmuth, MI 48734-1109
Mailing address
668 Bending BRK
Flushing, MI 48433-3017
Phone (810) 877-3464
Other practice location 1
1201 Flushing Rd
Flint, MI 48504-4730
Phone (810) 232-9100
Other practice location 2
4129 S Saginaw St
Flint, MI 48507-2650
Phone (810) 239-2667
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 |
|---|---|---|---|
| 5302415040 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS LLC | Past | Accepting new patients | |
| Discount RX LLC | Past | Accepting new patients | |
| Discount RX LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Flint, MI
- NPI 1740887454
-
- Community/Retail Pharmacy
- Flint, MI
- NPI 1831336536
-
- Community/Retail Pharmacy
- Frankenmuth, MI
- NPI 1154725570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1902590771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 BENDING BRK",
"city": "FLUSHING",
"state": "MI",
"postal_code": "484333017",
"telephone_number": "810-877-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N MAIN ST",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341109",
"telephone_number": "989-652-8001"
}
],
"practiceLocations": [
{
"address_1": "1201 Flushing Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485044730",
"country_code": "US",
"telephone_number": "810-232-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4129 S Saginaw St",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485072650",
"country_code": "US",
"telephone_number": "810-239-2667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DABOUL",
"first_name": "RAND",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankenmuth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.