Individual provider Active NPI

Wassim Khanafer, PHARMD

  • Pharmacist
  • Westland, MI
National Provider Identifier
1144812132
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302043282 Issued in MI
Practice address
32932 Warren Rd Ste 300
Westland, MI 48185-3095
Phone
(734) 427-2850
Fax
(734) 427-3428
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 5302043282 MI Primary

Addresses

Primary practice location

32932 Warren Rd Ste 300
Westland, MI 48185-3095

Mailing address

32932 Warren Rd Ste 300
Westland, MI 48185-3095

Other practice location 1

32316 Grand River Ave
Farmington, MI 48336-3201
Phone (248) 474-8290

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

LicenseStateTypeSpecialty
5302043282MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tayler Health LLC Current Accepting new patients

Locations

32316 Grand River Ave
Farmington, MI 48336
Phone (248) 474-8290

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1144812132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32932 WARREN RD STE 300",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32932 WARREN RD STE 300",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853095",
            "telephone_number": "734-427-2850",
            "fax_number": "734-427-3428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32316 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MI",
            "postal_code": "483363201",
            "country_code": "US",
            "telephone_number": "248-474-8290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANAFER",
        "first_name": "WASSIM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043282",
            "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 Feb 10, 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.