IndividualActive
Wijdan Alyasiry
NPI 1457063513 · Pharmacist · Oak Park, MI
Provider details
- NPI number
- 1457063513
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5302414731 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13550 W 9 Mile Rd
Oak Park, MI 48237-2852
Phone: (248) 548-4251
Street-level locationGet directions
Mailing address
13550 W 9 Mile Rd
Oak Park, MI 48237-2852
Registry dates
- Enumerated
- 2022-12-20
- Last updated
- 2022-12-20
- Certified
- 2022-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.