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Ikhlas R Putrus

Pharmacist • Dearborn, MI

Active NPI 1720180672 Individual Practitioner Female Practitioner
Practice location in NPPES

23100 Cherry Hill St
Dearborn, MI 481241493

Call 3132745990 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

23100 Cherry Hill St

Dearborn, MI 481241493

Telephone 3132745990
Fax 3132741479
Organization at the Same NPPES Address or Phone
William J Peters Dpm,pc Facility NPI 1972566487

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dearborn and Michigan

225 active clinicians are listed under Pharmacist with a practice address in Dearborn, MI (8,376 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dearborn

0% of these 225 clinicians have the CMS telehealth indicator.

0% of these 225 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MI 5302025677

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Marianne Baran , DDS

Dentist - General Practice

NPI 1164561767

Doctor of Dental Surgery

Dr. Helene Dombrowski , MD

Dermatology - Procedural Dermatology

NPI 1659351948

Doctor of Medicine (M.D.)

NPI 1780685008

Doctor of Medicine (M.D.)

NPI 1649609587
NPI 1386607877

Doctor of Podiatric Medicine

Career & Practice History

NPI enumerated September 02, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1720180672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Other Pharmacists in Dearborn

All Pharmacists in Dearborn

Mailing Address

23100 Cherry Hill St

Dearborn, MI 481241493

Phone: 3132745990

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.