Samer Riyadh Yono, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

5302413636 Issued in MI

Practice address

4775 24TH Ave
Fort Gratiot, MI 48059-3475

Phone

(810) 385-2110

Fax

(810) 385-2165

NPI assigned

Aug 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samer Halaq Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1447925110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 CRICHTON CT",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173682",
            "telephone_number": "586-819-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593475",
            "telephone_number": "810-385-2110",
            "fax_number": "810-385-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONO",
        "first_name": "SAMER",
        "middle_name": "RIYADH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302413636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMER",
            "last_name": "HALAQ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacotherapy Pharmacist in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Pharmacotherapy Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.