Active NPI
Toufic Fardous
- Pharmacist
- Detroit, MI
National Provider Identifier
1033765524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302411764
- Practice address
- 14313 Greenfield Rd
Detroit, MI 48227-2107 - Phone
- (313) 969-3668
- NPI assigned
- Aug 12, 2019
- Last updated
- Aug 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302411764 | MI | Primary |
Addresses
Primary practice location
14313 Greenfield Rd
Detroit, MI 48227-2107
Mailing address
6607 Payne Ave
Dearborn, MI 48126-1740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302411764 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1033765524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6607 PAYNE AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14313 GREENFIELD RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482272107",
"telephone_number": "313-969-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARDOUS",
"first_name": "TOUFIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302411764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.