Active NPI
Fatme Issmail
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Oak Park, MI
National Provider Identifier
1629858410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5302413399
- Practice address
- 24651 Coolidge Hwy
Oak Park, MI 48237-1449 - Phone
- (248) 607-0707
- NPI assigned
- Sep 29, 2023
- Last updated
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302413399 | MI | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5302413399 | MI | Primary |
Addresses
Primary practice location
24651 Coolidge Hwy
Oak Park, MI 48237-1449
Mailing address
24651 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (313) 899-9924
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 |
|---|---|---|---|
| 5302413399 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1629858410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24651 COOLIDGE HWY",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371449",
"telephone_number": "313-899-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24651 COOLIDGE HWY",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482371449",
"telephone_number": "248-607-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSMAIL",
"first_name": "FATME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302413399",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MI",
"license": "5302413399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.