Individual provider Active NPI

Samira Awada-Hider

  • Pharmacist
  • Dearborn, MI
National Provider Identifier
1245570365
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302029438 Issued in MI
Practice address
6803 Hartwell St
Dearborn, MI 48126-1820
Phone
(313) 289-5024
Fax
(734) 427-1461
NPI assigned
Feb 26, 2013
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302029438 MI Primary

Addresses

Primary practice location

6803 Hartwell St
Dearborn, MI 48126-1820

Mailing address

6803 Hartwell St
Dearborn, MI 48126-1820
Phone (313) 289-5024

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

State licenses

LicenseStateTypeSpecialty
5302029438MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1245570365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 HARTWELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261820",
            "telephone_number": "313-289-5024",
            "fax_number": "734-427-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 HARTWELL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261820",
            "telephone_number": "313-289-5024",
            "fax_number": "734-427-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADA-HIDER",
        "first_name": "SAMIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029438",
            "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 Feb 26, 2013; 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.