Active NPI
Hassane Fadlallah, RPH
- Pharmacist
- Dearborn, MI
National Provider Identifier
1235677386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027840
- Practice address
- 10066 Dix
Dearborn, MI 48120-1551 - Phone
- (313) 843-2400
- Fax
- (313) 843-2402
- NPI assigned
- Feb 9, 2017
- Last updated
- Mar 2, 2017
- 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 | 5302027840 | MI | Primary |
Addresses
Primary practice location
10066 Dix
Dearborn, MI 48120-1551
Mailing address
10066 Dix
Dearborn, MI 48120-1551
Phone (313) 843-2400
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027840 | MI | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1235677386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10066 DIX",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201551",
"telephone_number": "313-843-2400",
"fax_number": "313-843-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10066 DIX",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201551",
"telephone_number": "313-843-2400",
"fax_number": "313-843-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADLALLAH",
"first_name": "HASSANE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.