Individual provider Active NPI

Adnan Hassan Muhsen

  • Pharmacist
  • Flint, MI
National Provider Identifier
1114517190
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302046422 Issued in MI
Practice address
4433 Miller Rd Ste 102
Flint, MI 48507-1123
Phone
(810) 733-6653
Fax
(810) 733-8789
NPI assigned
Jan 22, 2021
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302046422 MI Primary

Addresses

Primary practice location

4433 Miller Rd Ste 102
Flint, MI 48507-1123

Mailing address

255 W Tami Cir Apt C201
Westland, MI 48186-9097
Phone (313) 268-7675

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

State licenses

LicenseStateTypeSpecialty
5302046422MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1114517190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W TAMI CIR APT C201",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869097",
            "telephone_number": "313-268-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 MILLER RD STE 102",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071123",
            "telephone_number": "810-733-6653",
            "fax_number": "810-733-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHSEN",
        "first_name": "ADNAN",
        "middle_name": "HASSAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302046422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.