Hosam Abdelmonaim Elbaz, PHD, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302044696 Issued in MI

Practice address

1399 E Grand River Ave
East Lansing, MI 48823-4913

Phone

(517) 337-1385

NPI assigned

Sep 30, 2017

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

Doctor of Philosophy, Registered Pharmacist

State licenses

Practice roles

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.

• Rite Aid of Michigan Inc

  • Community/Retail Pharmacy
  • East Lansing, MI
  • NPI 1316056856
  NPD (past)
• Rite Aid of Michigan Inc

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

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

{
    "created_epoch": "1506729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506729600000",
    "number": "1417467754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 E GRAND RIVER AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234913",
            "telephone_number": "517-337-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 E GRAND RIVER AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234913",
            "telephone_number": "517-337-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBAZ",
        "first_name": "HOSAM",
        "middle_name": "ABDELMONAIM",
        "name_prefix": "Dr.",
        "credential": "PHD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-30",
        "last_updated": "2017-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302044696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed A. El-Sanhouri, M.D.
• Hiba Elaasar, MD
• Elan Dental Group Lansing, PLLC
• Elan Lake Lansing
• Alissa Isabelle Elanjian
• Elite Personal Care Solutions LLC
• Raelyn Elliott-Remes, LMSW, CAADC
• Kelsea Ellis
• Alexa Caryn Ellish
• Mohamed H Elnabtity, M.D.

• All providers in East Lansing, MI
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2017; 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.