Hayat Pharmacy 12

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HAYAT PHARMACY 12

Practice address

5911 S Packard Ave
Cudahy, WI 53110-3025

Phone

(414) 744-7777

Fax

(414) 744-7776

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Hashim Zaibak, PHARMD

Title

President

Phone

(414) 744-7777

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1730659962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13337",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532130337",
            "telephone_number": "414-744-7777",
            "fax_number": "414-744-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531103025",
            "telephone_number": "414-744-7777",
            "fax_number": "414-744-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYAT PHARMACY 12",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "ZAIBAK",
        "authorized_official_first_name": "HASHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-744-7777",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana M Hall
• Yousef Hasan
• Abdinasir Muhudin Hassan Sr.
• Abdirizak Muhudin Hassan
• Alfatah Muhudin Hassan
• Jordan Tyler Hoeft, LCSW
• John Hoehn, APSW
• Latanya Holloway
• Homestead Independence Inc
• Beth A Houselog, RN

• Community/Retail Pharmacy in Cudahy, WI
• Providers in Cudahy, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.