Active NPI
Maher Kassem Awada, RPH
- Pharmacist
- Warren, MI
National Provider Identifier
1073284386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5315227531
- Practice address
- 25141 Hoover Rd
Warren, MI 48089-1145 - Phone
- (586) 459-0836
- Fax
- (586) 571-0650
- NPI assigned
- Sep 26, 2021
- Last updated
- Sep 26, 2021
- Sex
- Male
- 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 | 183500000X | 5315227531 | MI | Primary |
Addresses
Primary practice location
25141 Hoover Rd
Warren, MI 48089-1145
Mailing address
307 Cherry Valley Dr Apt P20
Inkster, MI 48141-1416
Phone (313) 969-3963
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315227531 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abes Drug Store 102 LLC | Current | Accepting new patients |
Locations
25141 Hoover Rd
Warren, MI 48089
Phone (586) 459-0836
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632614400000",
"number": "1073284386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 CHERRY VALLEY DR APT P20",
"city": "INKSTER",
"state": "MI",
"postal_code": "481411416",
"telephone_number": "313-969-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25141 HOOVER RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480891145",
"telephone_number": "586-459-0836",
"fax_number": "586-571-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWADA",
"first_name": "MAHER",
"middle_name": "KASSEM",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-26",
"last_updated": "2021-09-26",
"certification_date": "2021-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5315227531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.