Individual provider Active NPI

Omar Abazeed, PHARMD

  • Pharmacist
  • Detroit, MI
National Provider Identifier
1780396358
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302414941 Issued in MI
Practice address
20250 W 7 Mile Rd
Detroit, MI 48219-3469
Phone
(313) 535-9755
Fax
(313) 535-9655
NPI assigned
Dec 15, 2022
Last updated
Jun 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5315237757 MI
Pharmacist 183500000X 5302414941 MI Primary

Addresses

Primary practice location

20250 W 7 Mile Rd
Detroit, MI 48219-3469

Mailing address

20232 River Oaks Dr
Dearborn Heights, MI 48127-2763
Phone (313) 525-1915

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
5302414941MIMDPharmacist
5315237757MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Medical Pharmacy LLC CurrentSince Jul 7, 2024 Accepting new patients
Apollo Medical Pharmacy LLC CurrentSince Jul 7, 2024 Accepting new patients

Locations

20250 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 535-9755

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1780396358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20232 RIVER OAKS DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272763",
            "telephone_number": "313-525-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20250 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193469",
            "telephone_number": "313-535-9755",
            "fax_number": "313-535-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAZEED",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-15",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315237757",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302414941",
            "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 Jun 30, 2024; 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.