Hayat Pharmacy 8, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9232-42 Issued in WI

Legal business name

HAYAT PHARMACY 8, LLC

Doing business as

Village Apothecary #1

Practice address

110 W Main St
Campbellsport, WI 53010-2704

Phone

(920) 533-4012

Fax

(920) 533-4012

NPI assigned

Dec 10, 2013

Last updated

Apr 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hashim Zaibak, PHARMACISTNPI 1740527969

Title

Owner

Phone

(414) 712-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village Apothecary #1 Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hashim Zaibak, RPH

  • Pharmacist
  • Milwaukee, WI
  • NPI 1740527969
  Authorized official Same address or phone
• Mustafa Hafez, R.PH.

  • Pharmacist
  • Madison, WI
  • NPI 1427423318
  NPD (past)
• Brittany Schaefer, PHARMD

  • Pharmacist
  • Campbellsport, WI
  • NPI 1649821596
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1013348572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13337",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532130337",
            "telephone_number": "920-533-4012",
            "fax_number": "920-533-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MAIN ST",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530102704",
            "telephone_number": "920-533-4012",
            "fax_number": "920-533-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYAT PHARMACY 8, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "ZAIBAK",
        "authorized_official_first_name": "HASHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-712-5200",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9232-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143357",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Apothecary #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Elizabeth Flitter, RD
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• Marissa Gravelle
• Patricia A Hayes, PA
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• Kimberly Ann Keceli, LAC, LMT, MSOM
• Shalbe Rae Kosciesza, RN
• David Anthony Krebs, D.C.

• Community/Retail Pharmacy in Campbellsport, WI
• Providers in Campbellsport, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.