Individual provider Active NPI

Nashwa Gerges-Henan, PHARMACIST

  • Pharmacist
  • Chesterfield, MI
National Provider Identifier
1184240699
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302037696 Issued in MI
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

Updated by the provider on Jun 20, 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 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

LicenseStateTypeSpecialty
5302037696MIMDPharmacist

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.

Verify at the official NPI Registry.