Hayat Pharmacy 5 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9058-042 Issued in WI

Legal business name

HAYAT PHARMACY 5 LLC

Practice address

1919 W North Ave
Milwaukee, WI 53205-1153

Phone

(414) 374-0000

Fax

(414) 374-0001

NPI assigned

Feb 18, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hashim Zaibak

Title

Owner

Phone

(414) 374-0000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Hayat Pharmacy 5 Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdelrahman H. Alarga, RPH

  • Pharmacist
  • Milwaukee, WI
  • NPI 1407252646
  NPD (past)
• Brian Bock, PHARMD

  • Pharmacist
  • Milwaukee, WI
  • NPI 1619358546
  NPD (past)
• Hanna Iaizzo, PHARMD

  • Pharmacist
  • Milwaukee, WI
  • NPI 1952816431
  NPD (past)
• Jared Longlais, PHARMD

  • Pharmacist
  • Milwaukee, WI
  • NPI 1811401979
  NPD (past)
• Anh Phuong Van, PHARMD

  • Pharmacist
  • Milwaukee, WI
  • NPI 1679090567
  NPD (past)

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1114224649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051155",
            "telephone_number": "414-374-0000",
            "fax_number": "414-374-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532051153",
            "telephone_number": "414-374-0000",
            "fax_number": "414-374-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYAT PHARMACY 5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "ZAIBAK",
        "authorized_official_first_name": "HASHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-374-0000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9058-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128884",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114224649",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayat Pharmacy 5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayat Pharmacy 22 LLC
• Hayat Pharmacy 22 LLC
• Hayat Pharmacy 22 LLC
• Hayat Pharmacy 3 LLC
• Hayat Pharmacy 4 LLC
• Hayat Pharmacy 7, LLC.
• Hayat Pharmacy 9 LLC
• Qurratulain Hayat, MD
• Umar Hayat, DMD
• Melisa A Hayburn, SAC-IT

• Community/Retail Pharmacy in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.