Individual provider Active NPI

Hussein Chammout, PHARMD

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1750866042
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302038978 Issued in MI
Practice address
15617 W McNichols Rd
Detroit, MI 48235-3541
Phone
(313) 544-7144
Fax
(313) 544-7147
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302038978 MI Primary

Addresses

Primary practice location

15617 W McNichols Rd
Detroit, MI 48235-3541

Mailing address

26257 Simone St
Dearborn Heights, MI 48127-3367
Phone (313) 485-7500

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
5302038978MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
City Pharmacy LLC CurrentSince Jun 22, 2021 Accepting new patients
East Paris Pharmacy LLC PastSince Jun 2, 2024 Accepting new patients

Locations

15617 W McNichols Rd
Detroit, MI 48235
Phone (313) 544-7144

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1750866042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26257 SIMONE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273367",
            "telephone_number": "313-485-7500",
            "fax_number": "313-544-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15617 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353541",
            "telephone_number": "313-544-7144",
            "fax_number": "313-544-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMMOUT",
        "first_name": "HUSSEIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.