Individual provider Active NPI

Youssef Bazzi, RPH

  • Pharmacist
  • Eastpointe, MI
National Provider Identifier
1235853680
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302414526 Issued in MI
Practice address
21321 Kelly Rd Ste 110
Eastpointe, MI 48021-3214
Phone
(586) 981-0966
NPI assigned
Sep 29, 2022
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302414526 MI Primary

Addresses

Primary practice location

21321 Kelly Rd Ste 110
Eastpointe, MI 48021-3214

Mailing address

5725 McMillan St
Dearborn Heights, MI 48127-2432
Phone (313) 455-2256

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

LicenseStateTypeSpecialty
5302414526MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Pharmacy PLLC Current Accepting new patients
Kelly Pharmacy LLC CurrentSince Aug 10, 2025 Accepting new patients
Abe S Pharmacy LLC PastSince Oct 1, 2022 Accepting new patients
Abe S Pharmacy LLC PastSince Dec 1, 2024 Accepting new patients

Locations

21321 Kelly Rd
Ste 110
Eastpointe, MI 48021
Phone (586) 981-0966

Organizations & group practices 4

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": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1235853680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 MCMILLAN ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272432",
            "telephone_number": "313-455-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 KELLY RD STE 110",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213214",
            "telephone_number": "586-981-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI",
        "first_name": "YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-29",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.