Individual provider Active NPI

Wessam Yousef, RPH, MBA

  • Pharmacotherapy Pharmacist
  • Royal Oak, MI
National Provider Identifier
1881062883
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
5302034498 Issued in MI
Practice address
1821 N Campbell Rd
Royal Oak, MI 48073-4237
Phone
(248) 237-4455
Fax
(248) 237-4453
NPI assigned
Sep 8, 2015
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X 5302034498 MI
Pharmacotherapy Pharmacist 1835P1200X 5302034498 MI Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5302034498 MI
Geriatric Pharmacist 1835G0303X 5302034498 MI
Oncology Pharmacist 1835X0200X 5302034498 MI

Addresses

Primary practice location

1821 N Campbell Rd
Royal Oak, MI 48073-4237

Mailing address

6864 Merrick Dr
Troy, MI 48098-1750
Phone (248) 339-6790

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
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302034498MIMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Hills Medi-Mart Discount Drug Center, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Fox Hills Medi-Mart Discount Drug Center Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

1539 S Opdyke Rd
Bloomfield Hills, MI 48304
Phone (248) 339-6790

1821 N Campbell Rd
Royal Oak, MI 48073
Phone (248) 548-3333

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1881062883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6864 MERRICK DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981750",
            "telephone_number": "248-339-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N CAMPBELL RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734237",
            "telephone_number": "248-237-4455",
            "fax_number": "248-237-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEF",
        "first_name": "WESSAM",
        "credential": "RPH, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "MI",
            "license": "5302034498",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302034498",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302034498",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MI",
            "license": "5302034498",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "MI",
            "license": "5302034498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.