Individual provider Active NPI

Elgid A Elgid

  • Pharmacist
  • Flint, MI
National Provider Identifier
1962057356
Registry record updated Aug 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302041921 Issued in MI
Practice address
4400 S Saginaw St
Flint, MI 48507-2645
Phone
(810) 239-2667
Fax
(810) 213-9834
NPI assigned
Aug 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302041921 MI Primary

Addresses

Primary practice location

4400 S Saginaw St
Flint, MI 48507-2645

Mailing address

2273 Lake Ridge Dr
Grand Blanc, MI 48439-7365
Phone (347) 272-9047

Other names 1

  • NA NA NA Professional name

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
5302041921MIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564790400000",
    "number": "1962057356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 LAKE RIDGE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397365",
            "telephone_number": "347-272-9047",
            "fax_number": "810-213-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072645",
            "telephone_number": "810-239-2667",
            "fax_number": "810-213-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGID",
        "first_name": "ELGID",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302041921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "middle_name": "NA",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.