Active NPI
Zein Haidar, PHARMACIST
- Pharmacist
- Southgate, MI
National Provider Identifier
1598231680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302045278
- Practice address
- 15700 Northline Rd
Southgate, MI 48195-2378 - Phone
- (734) 285-0030
- NPI assigned
- Oct 16, 2018
- Last updated
- Oct 16, 2018
- 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 | 5302045278 | MI | Primary |
Addresses
Primary practice location
15700 Northline Rd
Southgate, MI 48195-2378
Mailing address
683 Centralia St
Dearborn Heights, MI 48127-3736
Phone (313) 563-1769
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 |
|---|---|---|---|
| 5302045278 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1598231680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "683 CENTRALIA ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273736",
"telephone_number": "313-563-1769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15700 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952378",
"telephone_number": "734-285-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIDAR",
"first_name": "ZEIN",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.