Active NPI
Yasser A Maisari, B.A., PHARM B.S.
- Pharmacist
- Southfield, MI
National Provider Identifier
1073256244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302031465
- Practice address
- 23111 Lahser Rd
Southfield, MI 48033-6027 - Phone
- (248) 945-9216
- NPI assigned
- Apr 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 183500000X | 5302031465 | MI | Primary |
Addresses
Primary practice location
23111 Lahser Rd
Southfield, MI 48033-6027
Mailing address
4716 Korte St
Dearborn, MI 48126-2806
Phone (313) 404-5405
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302031465 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GMC Pharmacy LLC | Current | Accepting new patients | |
| Med Express Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Clinton Township, MI
- NPI 1992235535
-
- Community/Retail Pharmacy
- Clinton Township, MI
- NPI 1437457728
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1073256244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 KORTE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262806",
"telephone_number": "313-404-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23111 LAHSER RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480336027",
"telephone_number": "248-945-9216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISARI",
"first_name": "YASSER",
"middle_name": "A",
"credential": "B.A., PHARM B.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-15",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.