Jad Aiman Kawas

Individual provider Active NPI Pharmacist · Essexville, MI

NPI 1245032853 · NPPES record last updated Mar 25, 2025

Key facts

NPI
1245032853
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
5302416427 (MI)
Practice address
2901 Center Ave
Essexville, MI 48732-1703
Phone
(313) 595-3406
NPI assigned
Mar 25, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5302416427MIMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP
183500000X 5302416427 MI Yes

Addresses

Primary practice location

2901 Center Ave
Essexville, MI 48732-1703

Mailing address

27391 Terrell St
Dearborn Heights, MI 48127-2866

Other providers in Essexville, MI

All providers in Essexville, MI · Pharmacist in Michigan

Sources for this page

Verify at the official NPI Registry.