Active NPI
Mohamad Hamade
- Pharmacist
- Wayne, MI
National Provider Identifier
1487065249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S015549
- Practice address
- 31450 Van Born Rd
Wayne, MI 48184-2631 - Phone
- (734) 728-4295
- Fax
- (734) 728-4375
- NPI assigned
- May 15, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302035451 | MI | |
| Pharmacist | 183500000X | S015549 | AZ | Primary |
Addresses
Primary practice location
31450 Van Born Rd
Wayne, MI 48184-2631
Mailing address
31450 Van Born Rd
Wayne, MI 48184-2698
Phone (734) 728-4295
Other practice location 1
3440 W Glendale Ave
Phoenix, AZ 85051-8323
Phone (602) 336-4590
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 |
|---|---|---|---|
| S015549 | AZ | MD | Pharmacist |
| 5302035451 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodward Detroit CVS, L.L.C. | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
Organizations & group practices 3
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": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1487065249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31450 VAN BORN RD",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842698",
"telephone_number": "734-728-4295",
"fax_number": "734-728-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31450 VAN BORN RD",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842631",
"telephone_number": "734-728-4295",
"fax_number": "734-728-4375"
}
],
"practiceLocations": [
{
"address_1": "3440 W Glendale Ave",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850518323",
"country_code": "US",
"telephone_number": "602-336-4590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMADE",
"first_name": "MOHAMAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-15",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035451",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S015549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, 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.