Active NPI
Hassan M Shehadi, PHARMD
- Pharmacist
- Lincoln Park, MI
National Provider Identifier
1114537016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302412816
- Practice address
- 1765 Fort St
Lincoln Park, MI 48146-1901 - Phone
- (313) 928-8638
- NPI assigned
- Aug 5, 2020
- 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 | 5302412816 | MI | Primary |
Addresses
Primary practice location
1765 Fort St
Lincoln Park, MI 48146-1901
Mailing address
6099 Rosemont Ave
Detroit, MI 48228-3873
Phone (313) 629-5454
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 |
|---|---|---|---|
| 5302412816 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxwell LLC | Current | Accepting new patients | |
| Daily Meds LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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.
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- NPI 1265447387
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- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1114537016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6099 ROSEMONT AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482283873",
"telephone_number": "313-629-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 FORT ST",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481461901",
"telephone_number": "313-928-8638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEHADI",
"first_name": "HASSAN",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302412816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.