Individual provider Active NPI

Gassan Asadi

  • Pharmacist
  • Troy, MI
National Provider Identifier
1497277115
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302030872 Issued in MI
Practice address
215 E Big Beaver Rd Ste 500
Troy, MI 48083
Phone
(248) 817-6770
Fax
(248) 817-2455
NPI assigned
Jul 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302030872 MI Primary

Addresses

Primary practice location

215 E Big Beaver Rd Ste 500
Troy, MI 48083

Mailing address

2544 Beachview CT
Troy, MI 48098-4203
Phone (269) 352-6385

Other practice location 1

551 Linn St Ste 120
Allegan, MI 49010-1591
Phone (269) 673-4700

Other practice location 2

215 E Big Beaver Rd Ste 500
Troy, MI 48083
Phone (248) 817-6770

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

LicenseStateTypeSpecialty
5302030872MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Pharmacy and Compounding LLC PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1497277115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 BEACHVIEW CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984203",
            "telephone_number": "269-352-6385",
            "fax_number": "248-817-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E BIG BEAVER RD STE 500",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "248-817-6770",
            "fax_number": "248-817-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Linn St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Allegan",
            "state": "MI",
            "postal_code": "490101591",
            "country_code": "US",
            "telephone_number": "269-673-4700",
            "fax_number": "269-673-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E Big Beaver Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "48083",
            "country_code": "US",
            "telephone_number": "248-817-6770",
            "fax_number": "248-817-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASADI",
        "first_name": "GASSAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302030872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.