Bassam Harati

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

5302035339 Issued in MI

Practice address

14533 Livernois Avenue
Detroit, MI 48238-2010

Phone

(313) 340-7777

Fax

(313) 340-4449

NPI assigned

Mar 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sam'S Pharmacy PLLC

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1558700138
  NPD Authorized official
• Sam'S Pharmacy PLLC Long Term Care

  • Long Term Care Pharmacy
  • Detroit, MI
  • NPI 1891661096
  NPD Authorized official

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1639637135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14533 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382010",
            "telephone_number": "313-340-7777",
            "fax_number": "313-340-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14533 LIVERNOIS AVENUE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482382010",
            "telephone_number": "313-340-7777",
            "fax_number": "313-340-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARATI",
        "first_name": "BASSAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302035339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Zofeshan Haque, M.D
• Fatima Harajli
• Michael Harakas
• Adrienne Haralson
• Alan Christopher Haras, MA, MSW, LMSW
• Ali Harb, MD
• Mohamed Harb
• Harbour Town Pharmacy LLC
• Lindsay Anne Harbron, D.D.S.
• Gregory Hardaway

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.