Active NPI
Ahmad Ali Harb
- Pharmacist
- East Lansing, MI
National Provider Identifier
1952058661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414048
- Practice address
- 100 W Grand River Ave
East Lansing, MI 48823-4325 - Phone
- (517) 318-0304
- Fax
- (517) 318-0305
- NPI assigned
- Mar 3, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 5302414048 | MI | Primary |
Addresses
Primary practice location
100 W Grand River Ave
East Lansing, MI 48823-4325
Mailing address
25428 Elon Dr
Dearborn Heights, MI 48127-3805
Phone (313) 549-5009
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 |
|---|---|---|---|
| 5302414048 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
100 W Grand River Ave
East Lansing, MI 48823
Phone (517) 318-0304
Organizations & group practices 2
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": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646265600000",
"number": "1952058661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25428 ELON DR",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273805",
"telephone_number": "313-549-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W GRAND RIVER AVE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488234325",
"telephone_number": "517-318-0304",
"fax_number": "517-318-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARB",
"first_name": "AHMAD",
"middle_name": "ALI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.