Tarek Mohamad Hassoun

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302042769 Issued in MI

Practice address

981 Orchard Lake Rd
Pontiac, MI 48341-2785

Phone

(248) 590-2994

NPI assigned

Nov 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthline Pharmacy, LLC

  • Community/Retail Pharmacy
  • Pontiac, MI
  • NPI 1356815351
  NPD Authorized official
• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Keego Harbor, MI
  • NPI 1194834648
  NPD (past)
• Perry Drug Stores Inc and Subsidiaries

  • Community/Retail Pharmacy
  • Commerce Township, MI
  • NPI 1871602391
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1497224836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 ORCHARD LAKE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412785",
            "telephone_number": "248-590-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 ORCHARD LAKE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412785",
            "telephone_number": "248-590-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSOUN",
        "first_name": "TAREK",
        "middle_name": "MOHAMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302042769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amna Harrie, MD
• Ghulam A Harrie, MD
• Quentin Ryan Harris, LLMSW
• Shatori Danielle Harris
• Maha Hassan, D.O.
• Essa Hanna Hattar, MD
• Raymond Haward, M.D.
• Amanda Grace Hawkins
• Michael Scott Hayes, M.S., CCC-A
• Wendy Arlene Hayes, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.