Akerm Alie Mutahr

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038642 Issued in MI

Practice address

2060 E Paris Ave SE
Ste 102
Grand Rapids, MI 49546-6113

Phone

(616) 805-4601

Fax

(616) 805-4826

NPI assigned

Jun 17, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• East Paris Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1518504091
  NPD

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1962797837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE",
            "address_2": "STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466113",
            "telephone_number": "616-805-4601",
            "fax_number": "616-805-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E PARIS AVE SE",
            "address_2": "STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466113",
            "telephone_number": "616-805-4601",
            "fax_number": "616-805-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTAHR",
        "first_name": "AKERM",
        "middle_name": "ALIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ann Musselman, L.L.P.
• Grace Musselman, BACHELORS OF SCIENCE
• Bryan R Mustert, MD
• Cynthia Lynne Musto, LLP
• Thomas M Muszynski Sr., RN
• Josharon Mutchler, MD
• Robert Muterspaugh
• Elizabeth Hope Muyskens, LLMSW
• Kashyap Muzumdar
• MV Home Care LLC (Mind & Mobility Home Care)

• Pharmacist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.