Active NPI
Jaafar M Chehab
- Pharmacist
- Madison Heights, MI
National Provider Identifier
1194399683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027828
- Practice address
- 28411 Dequindre Rd
Madison Heights, MI 48071-3055 - Phone
- (248) 591-5555
- NPI assigned
- May 18, 2021
- Sex
- Male
- 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 | 5302027828 | MI | Primary |
Addresses
Primary practice location
28411 Dequindre Rd
Madison Heights, MI 48071-3055
Mailing address
3336 Farmdale Dr
Sterling Heights, MI 48314-2833
Phone (586) 873-6307
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 |
|---|---|---|---|
| 5302027828 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pharmacy Shop | Pharmacist | Current | Accepting new patients |
Locations
28411 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 591-5555
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": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1194399683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 FARMDALE DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483142833",
"telephone_number": "586-873-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28411 DEQUINDRE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713055",
"telephone_number": "248-591-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEHAB",
"first_name": "JAAFAR",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.