Active NPI
Nagat Hussein
- Pharmacist
- Allen Park, MI
National Provider Identifier
1154845428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302042108
- Practice address
- 3565 Fairlane Dr
Allen Park, MI 48101-2876 - Phone
- (313) 253-1110
- NPI assigned
- Jul 28, 2017
- Last updated
- Nov 23, 2022
- Sex
- Female
- 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 | 5302042108 | MI | Primary |
Addresses
Primary practice location
3565 Fairlane Dr
Allen Park, MI 48101-2876
Mailing address
7266 Jonathon St
Dearborn, MI 48126-1441
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302042108 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meijer Inc | Past | Accepting new patients | |
| Meijer Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1154845428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7266 JONATHON ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3565 FAIRLANE DR",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481012876",
"telephone_number": "313-253-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEIN",
"first_name": "NAGAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302042108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.