Shadi Shamsedean, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302040990 Issued in MI

Practice address

27901 Plymouth Rd
Livonia, MI 48150-2324

Phone

(248) 432-7477

Fax

(248) 432-7486

NPI assigned

Nov 15, 2021

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• United Home Care Solutions LLC

  • Home Health Agency
  • Dearborn, MI
  • NPI 1770432270
  NPD (past)

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1720744634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24501 ROCKFORD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241332",
            "telephone_number": "313-207-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27901 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502324",
            "telephone_number": "248-432-7477",
            "fax_number": "248-432-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSEDEAN",
        "first_name": "SHADI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811550536",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Shalaby, DDS
• Sarah Shaltis
• Camryn Shammami
• Sarah Shamoon
• Teena Shamsaei
• Shaner Chiropractic Health Center, P.C.
• Michael R Shapiro, D.M.D.
• Jenan Shareef
• Hana Sharif, DDS
• Karen A Sharkey, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.