Active NPI
Ali Cheaito
- Pharmacist
- Livonia, MI
National Provider Identifier
1962156539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302039728
- Practice address
- 16347 Middlebelt Rd
Livonia, MI 48154-3360 - Phone
- (734) 469-4657
- Fax
- (888) 867-9794
- NPI assigned
- Feb 11, 2022
- 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 | 5302039728 | MI | Primary |
Addresses
Primary practice location
16347 Middlebelt Rd
Livonia, MI 48154-3360
Mailing address
16347 Middlebelt Rd
Livonia, MI 48154-3360
Phone (734) 469-4657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302039728 | Other | MI | PHARMACIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@bloomsrx.com | Direct |
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 |
|---|---|---|---|
| 5302039728 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blooms Pharmacy LLC | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Livonia, MI
- NPI 1437609351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1962156539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16347 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543360",
"telephone_number": "734-469-4657",
"fax_number": "888-867-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16347 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543360",
"telephone_number": "734-469-4657",
"fax_number": "888-867-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEAITO",
"first_name": "ALI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302039728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "5302039728",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@bloomsrx.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16347 Middlebelt Rd",
"city": "Livonia",
"state": "MI",
"country_code": "US",
"postal_code": "481543360",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 11, 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.