Active NPI
Ali Khatib
- Pharmacist
- Westland, MI
National Provider Identifier
1952569188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302029716
- Practice address
- 1956 S Venoy Rd
Westland, MI 48186-4600 - Phone
- (734) 728-1591
- Fax
- (734) 729-6546
- NPI assigned
- May 23, 2008
- Sex
- Male
- 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 | 5302029716 | MI | Primary |
Addresses
Primary practice location
1956 S Venoy Rd
Westland, MI 48186-4600
Mailing address
1956 S Venoy Rd
Westland, MI 48186-4600
Phone (734) 728-1591
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 |
|---|---|---|---|
| 5302029716 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toledo Family Pharmacy Inc | Current | Accepting new patients | |
| Lansing Specialty Pharmacy LLC | Current | Accepting new patients | |
| A & C Pharmacy Inc | Current | Accepting new patients |
Locations
1956 S Venoy Rd
Westland, MI 48186
Phone (734) 722-8774
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.
-
- Community/Retail Pharmacy
- Westland, MI
- NPI 1508966995
-
- Long Term Care Pharmacy
- Lincoln Park, MI
- NPI 1609233162
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1366725863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1952569188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1956 S VENOY RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481864600",
"telephone_number": "734-728-1591",
"fax_number": "734-729-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1956 S VENOY RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481864600",
"telephone_number": "734-728-1591",
"fax_number": "734-729-6546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATIB",
"first_name": "ALI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-23",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302029716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.