Active NPI
Joy Fakhouri, PHARM.D.
- Pharmacotherapy Pharmacist
- Wixom, MI
National Provider Identifier
1346650140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 5302039401
- Practice address
- 49900 Grand River Ave
Wixom, MI 48393-3308 - Phone
- (248) 449-8533
- Fax
- (248) 449-8565
- NPI assigned
- May 1, 2014
- Last updated
- May 1, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 5302039401 | MI | Primary |
Addresses
Primary practice location
49900 Grand River Ave
Wixom, MI 48393-3308
Mailing address
36537 Gardner St
Livonia, MI 48152-2781
Phone (248) 996-5533
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302039401 | MI | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1346650140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36537 GARDNER ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522781",
"telephone_number": "248-996-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49900 GRAND RIVER AVE",
"city": "WIXOM",
"state": "MI",
"postal_code": "483933308",
"telephone_number": "248-449-8533",
"fax_number": "248-449-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHOURI",
"first_name": "JOY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MI",
"license": "5302039401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wixom, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.