Mohamad H Dakdouk, DR.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302033148 Issued in MI

Practice address

12866 Fort St
Southgate, MI 48195-1060

Phone

(734) 288-3588

Fax

(734) 288-3610

NPI assigned

Mar 26, 2007

Last updated

Feb 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• MD Royal Pharmacy Inc

  • Community/Retail Pharmacy
  • Southgate, MI
  • NPI 1437692779
  NPD Authorized official
• Vernor Pharmacy PLLC

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1467922054
  NPD Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1053438614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12866 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951060",
            "telephone_number": "734-288-3588",
            "fax_number": "734-288-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12866 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951060",
            "telephone_number": "734-288-3588",
            "fax_number": "734-288-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKDOUK",
        "first_name": "MOHAMAD",
        "middle_name": "H",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Nicole Czajka
• Jill M Czajka, LMSW
• Kira D'Alessandri, CPSS, CPRC
• Hirut Dagnew, MD
• Andrew M Dailing, LLMSW, CCS
• Savannah Michelle Dakota, LMSW
• Jordan Taylor Daniels
• Kenyotta Daniels
• Sarah Daniels
• Syed M Danish, MD

• Pharmacist in Southgate, MI
• Providers in Southgate, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.