Individual provider Active NPI

Kassem Kleit, PHARMD

  • Pharmacist
  • Berkley, MI
National Provider Identifier
1245717040
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302045391 Issued in MI
Practice address
3270 Greenfield Rd Ste 101
Berkley, MI 48072-1161
Phone
(248) 284-6969
Fax
(248) 284-6963
NPI assigned
Jul 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302045391 MI Primary

Addresses

Primary practice location

3270 Greenfield Rd Ste 101
Berkley, MI 48072-1161

Mailing address

3639 Middlebury LN
Bloomfield Hills, MI 48301-3362
Phone (734) 927-2878

Other identifiers 1

IdentifierTypeStateIssuer
5302045391OtherMIPHARMACIST LICENSE

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302045391MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well RX LLC Current Accepting new patients
Get Well Pharmacy LLC Current Accepting new patients

Locations

3270 Greenfield Rd
Ste 101
Berkley, MI 48072
Phone (248) 284-6969

Organizations & group practices 2

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": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1245717040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 MIDDLEBURY LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013362",
            "telephone_number": "734-927-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 GREENFIELD RD STE 101",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721161",
            "telephone_number": "248-284-6969",
            "fax_number": "248-284-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIT",
        "first_name": "KASSEM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302045391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "5302045391",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.