Individual provider Active NPI

Lina Qasem, PHARMD

  • Pharmacist
  • Hamtramck, MI
National Provider Identifier
1457833352
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302040801 Issued in MI
Practice address
9100 Brombach St
Hamtramck, MI 48212-3473
Phone
(313) 972-9042
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302040801 MI Primary

Addresses

Primary practice location

9100 Brombach St
Hamtramck, MI 48212-3473

Mailing address

7800 W Outer Dr
Detroit, MI 48235-3296
Phone (313) 543-6756

Other practice location 1

5500 Auto Club Dr
Dearborn, MI 48126-2779
Phone (313) 425-4613

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lqasem237223@direct.hfhs.org

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302040801MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1457833352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353296",
            "telephone_number": "313-543-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BROMBACH ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123473",
            "telephone_number": "313-972-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Auto Club Dr",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262779",
            "country_code": "US",
            "telephone_number": "313-425-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QASEM",
        "first_name": "LINA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lqasem237223@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "9100 Brombach St",
            "city": "Hamtramck",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482123473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.