Hisham N Sahom, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302026139 Issued in MI

Practice address

5859 28TH St SE
Grand Rapids, MI 49546-6905

Phone

(616) 949-9892

Fax

(616) 949-5709

NPI assigned

Apr 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1376718296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 ELM ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071818",
            "telephone_number": "616-808-6837",
            "fax_number": "616-949-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466905",
            "telephone_number": "616-949-9892",
            "fax_number": "616-949-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHOM",
        "first_name": "HISHAM",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302026139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Pines Counseling and Wellness LLC
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• Jesika Leigh Sage
• Katherine J Sage, D.O.
• Michael Sahara, MD
• Inderjeet Kaur Sahota
• Izak Daniel Sahutske
• Jahandar Saifollahi, MD
• Michelle L Saigeon, LMSW
• Breann Sailor

• Pharmacist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.