Individual provider Active NPI

Hala J Bazzi-Lang, PHARMD

  • Pharmacist
  • Novi, MI
National Provider Identifier
1710268552
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302037425 Issued in MI
Practice address
46325 W 12 Mile Rd Ste 150
Novi, MI 48377-2458
Phone
(248) 267-3004
Fax
(248) 267-3005
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302037425 MI Primary

Addresses

Primary practice location

46325 W 12 Mile Rd Ste 150
Novi, MI 48377-2458

Mailing address

46325 W 12 Mile Rd Ste 150
Novi, MI 48377-2458
Phone (248) 267-3004

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302037425MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Family Pharmacy, LLC CurrentSince Jun 1, 2022 Accepting new patients
Keystone Specialty Care Pharmacy CurrentSince Jun 7, 2020 Accepting new patients

Locations

46325 W Twelve Mile Rd
Ste 150
Novi, MI 48377
Phone (248) 267-3004

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1710268552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772458",
            "telephone_number": "248-267-3004",
            "fax_number": "248-267-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46325 W 12 MILE RD STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772458",
            "telephone_number": "248-267-3004",
            "fax_number": "248-267-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZI-LANG",
        "first_name": "HALA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.