Active NPI
Abdelaziz Hussein
- Pharmacist
- Detroit, MI
National Provider Identifier
1427689942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302037002
- Practice address
- 18500 Grand River Ave
Detroit, MI 48223-2319 - Phone
- (313) 272-5256
- Fax
- (313) 272-9708
- NPI assigned
- Feb 3, 2020
- Last updated
- Feb 3, 2020
- Sex
- Male
- 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 | 5302037002 | MI | Primary |
Addresses
Primary practice location
18500 Grand River Ave
Detroit, MI 48223-2319
Mailing address
34297 Haldane Dr
Livonia, MI 48152-4100
Phone (248) 921-3541
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 |
|---|---|---|---|
| 5302037002 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1427689942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34297 HALDANE DR",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481524100",
"telephone_number": "248-921-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18500 GRAND RIVER AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482232319",
"telephone_number": "313-272-5256",
"fax_number": "313-272-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEIN",
"first_name": "ABDELAZIZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302037002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.