Active NPI
Gassan Asadi
- Pharmacist
- Troy, MI
National Provider Identifier
1497277115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302030872
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302030872 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Pharmacy and Compounding LLC | Past | 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.
-
- Community/Retail Pharmacy
- Troy, MI
- NPI 1417518218
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.