Active NPI
Louis A Zawaideh, PHARMD
- Pharmacotherapy Pharmacist
- Troy, MI
National Provider Identifier
1194871061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302035376
- Practice address
- 1179 Maplelawn Dr
Troy, MI 48084-5515 - Phone
- (800) 422-3227
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302035376 | MI | Primary |
Addresses
Primary practice location
1179 Maplelawn Dr
Troy, MI 48084-5515
Mailing address
530 Vinewood Ave
Birmingham, MI 48009-3844
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035376 | MI | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Pharmacy Compounding 4 Inc | Current | Accepting new patients | |
| Gabecare Directrx Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Clinton Township, MI
- NPI 1841998663
-
dba DirectRx Specialty Pharmacy
- Community/Retail Pharmacy
- Troy, MI
- NPI 1194725705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194871061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 VINEWOOD AVE",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480093844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 MAPLELAWN DR",
"city": "TROY",
"state": "MI",
"postal_code": "480845515",
"telephone_number": "800-422-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAWAIDEH",
"first_name": "LOUIS",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302035376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.