Faris Mazen Gammoh, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302043431 Issued in MI

Practice address

35814 Dequindre Rd
Sterling Heights, MI 48310-4290

Phone

(586) 698-1874

Fax

(586) 698-1875

NPI assigned

Jul 13, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Canfield Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1487269122
  NPD Authorized official
• Pharm E-Z, Inc.

  • Community/Retail Pharmacy
  • Sterling Heights, MI
  • NPI 1689064735
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1205454477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35814 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104290",
            "telephone_number": "586-698-1874",
            "fax_number": "586-698-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35814 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104290",
            "telephone_number": "586-698-1874",
            "fax_number": "586-698-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMOH",
        "first_name": "FARIS",
        "middle_name": "MAZEN",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010649",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Galea
• Edgar Gales
• Bruce A Gallant, D.D.S.
• Jaela Renee Galloway
• Samantha Gammo, DDS
• Timothy Gammons, D.O.
• Alexys Gantz
• Simon Gappe, PT, DPT
• Alaa Edwar Garabet, RPH
• Kirk Francis Garcia-Rios, DO

• Pharmacist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.