Hussein Moussa Kaddouh, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302413253 Issued in MI

Practice address

3749 Carpenter Rd
Ypsilanti, MI 48197-9809

Phone

(734) 975-4675

NPI assigned

Mar 15, 2021

Last updated

May 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perry Drug Stores Inc and Subsidiaries

  dba Rite Aid Pharmacy 04320

  • Community/Retail Pharmacy
  • Livonia, MI
  • NPI 1013927573
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1063097657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 REUTER ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262262",
            "telephone_number": "313-595-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 CARPENTER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979809",
            "telephone_number": "734-975-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADDOUH",
        "first_name": "HUSSEIN",
        "middle_name": "MOUSSA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302413253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mijung Jung, CNP
• Tina Marie Jurries, LMSW
• Roberta Wigle Justice, MM, MT-BC
• Rami Kaakaji I, M.D.
• Donovan Joseph Kachi, DDS
• Hannah Kafka
• Sweta Kafle, MD
• Yasaman Kahnamouei
• Melissa Kalanik, RD
• Kaleidoscope Behavioral Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.