Individual provider Active NPI

Ziad Fakih, PHARMD

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1467040774
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302046966 Issued in MI
Practice address
3950 Mount Elliott St
Detroit, MI 48207-1841
Phone
(313) 579-5502
Fax
(313) 579-5504
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 5302046966 MI Primary

Addresses

Primary practice location

3950 Mount Elliott St
Detroit, MI 48207-1841

Mailing address

2287 Ellsworth Rd Ste a
Ypsilanti, MI 48197-4805
Phone (734) 434-2448

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
5302046966MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1467040774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 ELLSWORTH RD STE A",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974805",
            "telephone_number": "734-434-2448",
            "fax_number": "734-434-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 MOUNT ELLIOTT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071841",
            "telephone_number": "313-579-5502",
            "fax_number": "313-579-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKIH",
        "first_name": "ZIAD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302046966",
            "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 Jan 4, 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.