Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841055159 Individual Practitioner Male Practitioner

Mohammad Ettaher

Pharmacist • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Mohammad Ettaher is a registered healthcare professional specializing in Pharmacist in Detroit, MI. Practice services are available at 17364 LAHSER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17364 Lahser Rd

Detroit, MI 482192348

Telephone 3135325920
Fax 3135325920
Associated Practice Facility / Clinic
🏢 Redford Pharmacy Inc Facility NPI 1659440352

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: 2024-02-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302036519

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2024

Registered at 17364 LAHSER RD, DETROIT, MI 482192348 (Tel: 3135325920)

📍
Updated Business Mailing Address February 15, 2024

Registered at 17364 LAHSER RD, DETROIT, MI 482192348 (Tel: 3135325920)

👤
Provider Name / Credentials Updated February 15, 2024

Recorded as MOHAMMAD ETTAHER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2024

Pharmacist (License #5302036519 in MI)

🟢
Initial NPI Registration & Enumeration February 15, 2024

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: 1841055159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2024
Last Update: February 15, 2024
Sole Proprietor: Yes

Mailing Address

17364 Lahser Rd

Detroit, MI 482192348

Phone: 3135325920

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.