Active NPI
Hadeel Sabah Stephen, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Shelby Township, MI
National Provider Identifier
1063822708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5302037356
- Practice address
- 14945 23 Mile Rd
Shelby Township, MI 48315-3009 - Phone
- (586) 930-7020
- Fax
- (586) 930-7022
- NPI assigned
- May 3, 2014
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302037356 | MI | Primary |
Addresses
Primary practice location
14945 23 Mile Rd
Shelby Township, MI 48315-3009
Mailing address
14945 23 Mile Rd
Shelby Township, MI 48315-3009
Phone (586) 930-7020
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302037356 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co of Michigan | Past | Accepting new patients | |
| Kroger Co of Michigan | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Kroger Pharmacy #737
- Community/Retail Pharmacy
- Shelby Township, MI
- NPI 1912328170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1063822708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14945 23 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483153009",
"telephone_number": "586-930-7020",
"fax_number": "586-930-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14945 23 MILE RD",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483153009",
"telephone_number": "586-930-7020",
"fax_number": "586-930-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHEN",
"first_name": "HADEEL",
"middle_name": "SABAH",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-03",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302037356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.