Kassem Samer Horani

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302416824 Issued in MI

Practice address

10335 W Warren Ave
Dearborn, MI 48126-1658

Phone

(313) 581-4010

NPI assigned

May 15, 2023

Reactivated

Dec 10, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Woodward Detroit CVS, L.L.C.

  dba CVS Pharmacy #08027

  • Pharmacy
  • Dearborn, MI
  • NPI 1043312382
  NPD (past)

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1447941265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261658",
            "telephone_number": "313-581-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261658",
            "telephone_number": "313-581-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORANI",
        "first_name": "KASSEM",
        "middle_name": "SAMER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "deactivation_date": "2024-10-01",
        "reactivation_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302416824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hopecare Pharmacy, LLC
• Ruma Hopkins, M.D.
• Cheryle Hopper
• Kayla Renee Hopper
• Quasae Hopper
• Horizon Health PLLC
• Horizon Logistics LLC
• Kimberly Anita Horton
• Alicia Hosea
• Hospitalist & Palliative Medicine

• Pharmacist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.