Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154807287 Individual Practitioner Male Practitioner

Nathan Dejohn

Pharmacist • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Nathan Dejohn is a registered healthcare professional specializing in Pharmacist in Detroit, MI. Practice services are available at 10652 GRATIOT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10652 Gratiot Ave

Detroit, MI 482131200

Telephone 7346550248
Associated Practice Facility / Clinic
🏢 Woodward Detroit Cvs, L.l.c. Facility NPI 1073612370

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
483 Specialists

Practicing in Detroit, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302042411

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Ali Al-Mawla

Pharmacist

NPI 1548986979
NPI 1578303814

Doctor of Pharmacy (Pharm.D.)

NPI 1609170026

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address March 27, 2025

Registered at 10652 GRATIOT AVE, DETROIT, MI 482131200 (Tel: 7346550248)

📍
Updated Practice Location January 25, 2025

Registered at 10652 GRATIOT AVE, DETROIT, MI 482131200 (Tel: 7346550248)

📍
Updated Practice Location December 05, 2024

Registered at 3243 GARDEN AVE, ROYAL OAK, MI 480736526 (Tel: 7349059727)

📍
Updated Business Mailing Address December 05, 2024

Registered at 3243 GARDEN AVE, ROYAL OAK, MI 480736526 (Tel: 7349059727)

NPI Profile Active July 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2018

Registered at 1930 W STADIUM BLVD, ANN ARBOR, MI 481034504 (Tel: 7349134752)

📍
Updated Business Mailing Address July 11, 2018

Registered at 1930 W STADIUM BLVD, ANN ARBOR, MI 481034504

👤
Provider Name / Credentials Updated July 11, 2018

Recorded as NATHAN DEJOHN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2018

Pharmacist (License #5302042411 in MI)

🟢
Initial NPI Registration & Enumeration July 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154807287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2018
Last Update: March 27, 2025
Sole Proprietor: No

Mailing Address

10652 Gratiot Ave

Detroit, MI 482131200

Phone: 7346550248

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.