Individual provider Active NPI

Afaff Mohamed Ahmed Hagerahma

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1770717845
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302037991 Issued in MI
Practice address
4407 Livernois Ave
Detroit, MI 48210-2437
Phone
(313) 310-7494
NPI assigned
May 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302037991 MI Primary

Addresses

Primary practice location

4407 Livernois Ave
Detroit, MI 48210-2437

Mailing address

4407 Livernois Ave
Detroit, MI 48210-2437
Phone (313) 310-7497

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5302037991MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Oneway Hager Care LLC Pharmacy CurrentSince May 17, 2022 Accepting new patients

Locations

4407 Livernois Ave
Detroit, MI 48210
Phone (313) 262-6541

Organizations & group practices 1

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1770717845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102437",
            "telephone_number": "313-310-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102437",
            "telephone_number": "313-310-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGERAHMA",
        "first_name": "AFAFF",
        "middle_name": "MOHAMED AHMED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037991",
            "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 Nov 28, 2022; 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.