Mohamad Hamade
Individual provider Active NPI Pharmacist · Wayne, MI
NPI 1487065249 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1487065249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S015549 (AZ)
- Practice address
- 31450 Van Born Rd
Wayne, MI 48184-2631 - Phone
- (734) 728-4295
- Fax
- (734) 728-4375
- NPI assigned
- May 15, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S015549 | AZ | MD | Pharmacist |
| 5302035451 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Woodward Detroit CVS, L.L.C. | Past |
Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302035451 | MI | |
| Pharmacist | 183500000X | S015549 | AZ | Yes |
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
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.