Nabil Henein

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5302032880 Issued in MI

Practice address

1124 N Ballenger Hwy
Flint, MI 48504-7516

Phone

(810) 233-6765

NPI assigned

Nov 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04761

  • Community/Retail Pharmacy
  • Flint, MI
  • NPI 1487763967
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1912501685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 FORSTER LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483163892",
            "telephone_number": "586-480-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485047516",
            "telephone_number": "810-233-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEIN",
        "first_name": "NABIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5302032880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawana Henderson
• Josh Hendrick
• Kathleen Mary Hendricks, LMSW
• Sarah Marie Hendricks
• Carson Drew Hendrickson
• Paige A Henige
• Kia Lynne Henke, NP
• Henry Ford Health Genesys Hospital (Genesys Downtown-Gi Clinic)
• Henry Ford Health Genesys Hospital (Genesys Downtown IM)
• Henry Ford Health Genesys Hospital (Downtown Health Center -OBGYN)

• Community/Retail Pharmacy in Flint, MI
• Providers in Flint, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.