Individual provider Active NPI

Hikmat Yassine, PHARMD

  • Pharmacy
  • Ypsilanti, MI
National Provider Identifier
1033833439
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5302414629 Issued in MI
Practice address
3090 Carpenter Rd # 48197
Ypsilanti, MI 48197-9611
Phone
(734) 973-7402
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5302414629 MI Primary

Addresses

Primary practice location

3090 Carpenter Rd # 48197
Ypsilanti, MI 48197-9611

Mailing address

6216 Orchard Ave
Dearborn, MI 48126-2005
Phone (313) 247-0061

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302414629MIMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Woodward Detroit CVS, L.L.C. Pharmacy PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1033833439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 ORCHARD AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262005",
            "telephone_number": "313-247-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 CARPENTER RD # 48197",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979611",
            "telephone_number": "734-973-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASSINE",
        "first_name": "HIKMAT",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5302414629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.