Individual provider Active NPI

Kamil Saba

  • Pharmacist
  • Birmingham, MI
National Provider Identifier
1922232503
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302034763 Issued in MI
Practice address
801 S Adams Rd Ste 204
Birmingham, MI 48009-7018
Phone
(248) 289-7054
NPI assigned
May 11, 2009
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302034763 MI Primary

Addresses

Primary practice location

801 S Adams Rd Ste 204
Birmingham, MI 48009-7018

Mailing address

2003 E 12 Mile Rd
Warren, MI 48092-5642

Other practice location 1

2003 E 12 Mile Rd
Warren, MI 48092-5642
Phone (586) 751-3600

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
5302034763MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
PCS Pharmaceuticals LLC CurrentSince Feb 14, 2021 Accepting new patients

Locations

801 S Adams Rd
Ste 204
Birmingham, MI 48009
Phone (248) 289-7054

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1922232503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S ADAMS RD STE 204",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097018",
            "telephone_number": "248-289-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480925642",
            "country_code": "US",
            "telephone_number": "586-751-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABA",
        "first_name": "KAMIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302034763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.