Teketel Hansewo

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038552 Issued in MI

Practice address

2400 Fort St
Lincoln Park, MI 48146-2496

Phone

(313) 381-2400

NPI assigned

Feb 3, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Lincoln Park, MI
  • NPI 1265534549
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1053942508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462496",
            "telephone_number": "313-381-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462496",
            "telephone_number": "313-381-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEWO",
        "first_name": "TEKETEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LINCOLNPARK",
            "affiliation": "N",
            "address_1": "2400 Fort St",
            "city": "Lincoln Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481462496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn Michelle Hamilton, MA LLPC
• Hammonds PT and Recovery
• Hassan Ahmad Hammoud
• Houssein Hammoud, R.P.H
• Barbara Ann Hannah, M.D.
• Virginia Weaver Harrell
• Teela Harris
• Jennifer Harrison
• Barbara Ann Haslip, LMSW
• Cytisaney Hatch

• Pharmacist in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.