Active NPI
Tarek A Fakhuri, PHARM D
- Pharmacist
- Detroit, MI
National Provider Identifier
1629159744
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302033428
- Practice address
- 16461 Harper Avenue
Detroit, MI 48224-2618 - Phone
- (313) 647-9420
- Fax
- (313) 647-9426
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 5302033428 | MI | Primary |
Addresses
Primary practice location
16461 Harper Avenue
Detroit, MI 48224-2618
Mailing address
2239
Windsor, ONTARIO N9B 3J7
CA
Phone (313) 647-9420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5302033428 | Other | MI | PHARMACIST LICENSE NUMBER |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302033428 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1629159744",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "2239",
"city": "WINDSOR",
"state": "ONTARIO",
"postal_code": "N9B 3J7",
"telephone_number": "313-647-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16461 HARPER AVENUE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482242618",
"telephone_number": "313-647-9420",
"fax_number": "313-647-9426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHURI",
"first_name": "TAREK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "5302033428",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.