Individual provider Active NPI

Mojeeb Shahbain, RPH.

  • Pharmacist
  • Livonia, MI
National Provider Identifier
1942259759
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302035512 Issued in MI
Practice address
14155 Farmington Rd
Livonia, MI 48154-5422
Phone
(734) 744-4844
Fax
(734) 744-4847
NPI assigned
May 9, 2006
Last updated
Oct 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302035512 MI Primary

Addresses

Primary practice location

14155 Farmington Rd
Livonia, MI 48154-5422

Mailing address

14155 Farmington Rd
Livonia, MI 48154-5422
Phone (734) 744-4844

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302035512MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Specialist, Inc. Current Accepting new patients

Locations

14155 Farmington Rd
Livonia, MI 48154
Phone (734) 744-4844

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1942259759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545422",
            "telephone_number": "734-744-4844",
            "fax_number": "734-744-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545422",
            "telephone_number": "734-744-4844",
            "fax_number": "734-744-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAIN",
        "first_name": "MOJEEB",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302035512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.