Individual provider Active NPI

Khodr M Bazzi, RPH

  • Pharmacist
  • Westland, MI
National Provider Identifier
1144540758
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302027084 Issued in MI
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5302027084MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
R K Pharmacy Inc CurrentSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.