Active NPI
Rola Bassam Al Assi
- Pharmacist
- Detroit, MI
National Provider Identifier
1164242442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302416908
- Practice address
- 350 E Warren Ave
Detroit, MI 48201-1430 - Phone
- (313) 833-0201
- NPI assigned
- Oct 11, 2024
- 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 | 5302416908 | MI | Primary |
Addresses
Primary practice location
350 E Warren Ave
Detroit, MI 48201-1430
Mailing address
27226 Yorkshire SQ Apt 208
Dearborn Heights, MI 48127-3553
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 |
|---|---|---|---|
| 5302416908 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
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": "1728604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1164242442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27226 YORKSHIRE SQ APT 208",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E WARREN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011430",
"telephone_number": "313-833-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL ASSI",
"first_name": "ROLA",
"middle_name": "BASSAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302416908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.