Individual provider Active NPI

Kassem Chehab, PHARMD

  • Pharmacist
  • Ypsilanti, MI
National Provider Identifier
1154943850
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302046253 Issued in MI
Practice address
1065 N Huron River Dr Ste 600
Ypsilanti, MI 48197-3296
Phone
(734) 547-5995
Fax
(734) 547-5974
NPI assigned
May 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302046253 MI Primary

Addresses

Primary practice location

1065 N Huron River Dr Ste 600
Ypsilanti, MI 48197-3296

Mailing address

2035 N Highland St
Dearborn, MI 48128-1250
Phone (313) 622-3189

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.campusmedicalpharmacy.com Direct

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
5302046253MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Drugs LLC CurrentSince May 17, 2020 Accepting new patients
Warriors Pharmacy, Inc. Current Accepting new patients

Locations

1065 N Huron River Dr
Ste 600
Ypsilanti, MI 48197
Phone (734) 547-5995

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1154943850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 N HIGHLAND ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281250",
            "telephone_number": "313-622-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 N HURON RIVER DR STE 600",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973296",
            "telephone_number": "734-547-5995",
            "fax_number": "734-547-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEHAB",
        "first_name": "KASSEM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302046253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.campusmedicalpharmacy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2035 N Highland St",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481281250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.