Mustafa Chahrour

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302414489 Issued in MI

Practice address

28250 Dequindre Rd
Warren, MI 48092-5604

Phone

(586) 558-2089

NPI assigned

Dec 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kroger Co of Michigan

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Warren, MI
  • NPI 1215961057
  NPD (past)
• Kroger Co of Michigan

  dba Kroger Pharmacy #416

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1164132809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28250 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925604",
            "telephone_number": "586-558-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28250 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925604",
            "telephone_number": "586-558-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHROUR",
        "first_name": "MUSTAFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302414489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Physical Medicine and Rehabilitation PC (Complete Orthotics)
• Center for Physical Medicine and Rehabilitiation (Complete Orthotics)
• Center for Weight Management
• Century Multipurpose Services,LLC (Warren Pharmacy)
• Angela N Cergnul, D.D.S.
• Chairat Chomchai M.D P.C
• Tweechard Chairatana, M.D.
• Chaldean Hearts Home Care
• Mahdi Chamas, DPM
• Natalie Kathleen Champagne, DO

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Warren, MI
• Providers in Warren, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.