Active NPI
Nashwa Gerges-Henan, PHARMACIST
- Pharmacist
- Chesterfield, MI
National Provider Identifier
1184240699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037696
- Practice address
- 45400 Marketplace Blvd
Chesterfield, MI 48051-3279 - Phone
- (586) 421-1265
- Fax
- (586) 421-1267
- NPI assigned
- Jun 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 5302037696 | MI | Primary |
Addresses
Primary practice location
45400 Marketplace Blvd
Chesterfield, MI 48051-3279
Mailing address
49668 Sandra Dr
Shelby TWP, MI 48315-3537
Phone (586) 354-0059
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 |
|---|---|---|---|
| 5302037696 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592611200000",
"number": "1184240699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49668 SANDRA DR",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483153537",
"telephone_number": "586-354-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45400 MARKETPLACE BLVD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480513279",
"telephone_number": "586-421-1265",
"fax_number": "586-421-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERGES-HENAN",
"first_name": "NASHWA",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-20",
"last_updated": "2020-06-20",
"certification_date": "2020-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.