Justin Haddad

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302412159 Issued in MI

Practice address

4673 Conner St
Detroit, MI 48215-2028

Phone

(313) 458-7529

Fax

(313) 458-7547

NPI assigned

Apr 20, 2021

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.

• Canfield Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
  • NPI 1487269122
  NPD

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1689255739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4673 CONNER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152028",
            "telephone_number": "313-458-7529",
            "fax_number": "313-458-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4673 CONNER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152028",
            "telephone_number": "313-458-7529",
            "fax_number": "313-458-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDAD",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302412159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noor Hadad
• Ola Hadaya
• Georges K. Haddad, M.D.
• Jenean K Haddad, O.D
• John William Haddad, M.D
• Luay Lufti Butros Haddad, MD
• Mark N Haddad, DDS
• Moshe C Haddad, DO
• Roger Khalil Haddad, D.O
• Michelle Hadden-Hatcher

• 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 Apr 20, 2021; 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.