Hassan Subhi Abdallah, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302029513 Issued in MI

Practice address

11937 E Warren Ave
Detroit, MI 48214-1665

Phone

(313) 579-1755

Fax

(313) 579-2067

NPI assigned

Apr 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Hassan Subhi Abdallah Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastside Pharmacy Inc

  dba Eastside Savmor Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1336257708
  NPD (past)

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669594099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 MICHAEL DR",
            "city": "STERLING HTS",
            "state": "MI",
            "postal_code": "483103582",
            "telephone_number": "586-914-0116",
            "fax_number": "313-579-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11937 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482141665",
            "telephone_number": "313-579-1755",
            "fax_number": "313-579-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLAH",
        "first_name": "HASSAN",
        "middle_name": "SUBHI",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HASSAN",
            "last_name": "ABDALLAH",
            "middle_name": "SUBHI",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mohamed Elamin Omer Abdalla
• Rasha Salih Abdalla, MD
• Zeinab Abdalla, MBBS
• Ali Abdallah, DO
• Andrew Abdallah
• Muhanned Salah Imam Abdallah, M.D
• Norma Khalil Abdallah, RPH
• Samantha Abdallah
• Sumia Abdallah, DDS
• Tumodir Atta Abdallah, MD

• Pharmacist in Detroit, MI
• Providers in Detroit, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.