Active NPI
Ghaleb Ismail
- Pharmacist
- Pittsburgh, PA
National Provider Identifier
1407434590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302413057
- Practice address
- 3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410 - Phone
- (412) 647-5815
- NPI assigned
- Mar 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 5302413057 | MI | Primary |
Addresses
Primary practice location
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Mailing address
500 Kingsbury Ave
Dearborn, MI 48128-1521
Phone (313) 213-0405
Other practice location 1
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 324-3772
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 |
|---|---|---|---|
| 5302413057 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Troy, MI
- NPI 1588776454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1407434590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 KINGSBURY AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281521",
"telephone_number": "313-213-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FORBES AVE STE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133410",
"telephone_number": "412-647-5815"
}
],
"practiceLocations": [
{
"address_1": "2333 Biddle Ave",
"address_purpose": "LOCATION",
"city": "Wyandotte",
"state": "MI",
"postal_code": "481924668",
"country_code": "US",
"telephone_number": "734-324-3772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISMAIL",
"first_name": "GHALEB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-30",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302413057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.