Individual provider Active NPI

Nashwan Gary Ankawi II

  • Pharmacist
  • West Bloomfield, MI
National Provider Identifier
1750885455
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302042552 Issued in MI
Practice address
7490 Haggerty Rd
West Bloomfield, MI 48322-1067
Phone
(248) 661-4409
NPI assigned
Mar 19, 2018
Last updated
Mar 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 5302042552 MI Primary

Addresses

Primary practice location

7490 Haggerty Rd
West Bloomfield, MI 48322-1067

Mailing address

5384 Bentley Rd Apt 201
West Bloomfield, MI 48322-2190
Phone (248) 730-0604

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

State licenses

LicenseStateTypeSpecialty
5302042552MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1750885455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5384 BENTLEY RD APT 201",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222190",
            "telephone_number": "248-730-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 HAGGERTY RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221067",
            "telephone_number": "248-661-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANKAWI",
        "first_name": "NASHWAN",
        "middle_name": "GARY",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302042552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.