Individual provider Active NPI

Hauraa Raychouni, PHARMD

  • Pharmacist
  • Canton, MI
National Provider Identifier
1760008569
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302045798 Issued in MI
Practice address
44300 Ford Rd
Canton, MI 48187-3169
Phone
(734) 459-3875
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 5302045798 MI Primary

Addresses

Primary practice location

44300 Ford Rd
Canton, MI 48187-3169

Mailing address

6610 Fenton St
Dearborn Heights, MI 48127-2151
Phone (313) 641-4878

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
5302045798MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastborn RX Pharmacy LLC Current Accepting new patients
Walgreen Co PastSince Jun 21, 2020 Accepting new patients

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1760008569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 FENTON ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272151",
            "telephone_number": "313-641-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44300 FORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873169",
            "telephone_number": "734-459-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYCHOUNI",
        "first_name": "HAURAA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302045798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.