Active NPI
Khodr M Bazzi, RPH
- Pharmacist
- Westland, MI
National Provider Identifier
1144540758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027084
- Practice address
- 181 N Wayne Rd
Westland, MI 48185-3624 - Phone
- (734) 589-0400
- NPI assigned
- Jun 4, 2010
- 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 | 5302027084 | MI | Primary |
Addresses
Primary practice location
181 N Wayne Rd
Westland, MI 48185-3624
Mailing address
400 Woodcrest Dr
Dearborn, MI 48124-1141
Phone (313) 414-5507
Other practice location 1
165 S Wayne Rd
Westland, MI 48186-4301
Phone (734) 326-5200
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 |
|---|---|---|---|
| 5302027084 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R K Pharmacy Inc | Current | Accepting new patients |
Locations
181 N Wayne Rd
Westland, MI 48185
Phone (734) 589-0400
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Westland, MI
- NPI 1194253195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144540758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WOODCREST DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241141",
"telephone_number": "313-414-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 N WAYNE RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481853624",
"telephone_number": "734-589-0400"
}
],
"practiceLocations": [
{
"address_1": "165 S Wayne Rd",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481864301",
"country_code": "US",
"telephone_number": "734-326-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAZZI",
"first_name": "KHODR",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.