Active NPI
Artenisa Hatija
- Pharmacist
- Wixom, MI
National Provider Identifier
1275240368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414805
- Practice address
- 47300 Pontiac TRL
Wixom, MI 48393-2551 - Phone
- (248) 960-0352
- NPI assigned
- Oct 31, 2022
- Last updated
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 5302414805 | MI | Primary |
Addresses
Primary practice location
47300 Pontiac TRL
Wixom, MI 48393-2551
Mailing address
47300 Pontiac TRL
Wixom, MI 48393-2551
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302414805 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Michigan Inc | Past | Accepting new patients | |
| Rite Aid of Michigan Inc | Past | Accepting new patients |
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.
-
dba Rite Aid Pharmacy 04068
- Community/Retail Pharmacy
- Washington, MI
- NPI 1619117405
-
dba Rite Aid Pharmacy 04300
- Community/Retail Pharmacy
- Wixom, MI
- NPI 1841206141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1275240368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47300 PONTIAC TRL",
"city": "WIXOM",
"state": "MI",
"postal_code": "483932551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47300 PONTIAC TRL",
"city": "WIXOM",
"state": "MI",
"postal_code": "483932551",
"telephone_number": "248-960-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATIJA",
"first_name": "ARTENISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wixom, MI
- Farah Gabrial Hado, RPH
- Harbor Oxygen of Southeast Mi, LLC
- Kira Elise Harris, PT
- Rolandia Harris, LMSW
- Gretchen Marie Hart, MA, LLP,LPC, CAADC
- Health Net Connect Inc
- Jennifer Louise Heinz, LPC
- Helping You Hear Center, Inc. (Help U Hear Center)
- Carolyn Hennessey-Wood, M.A.,C.C.C.
- High Level Oxygen LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.