Jinan Harkous

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038436 Issued in MI

Practice address

3255 Owen Rd
Fenton, MI 48430-1755

Phone

(810) 714-2406

NPI assigned

May 4, 2020

Last updated

May 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ella Pharmacy LLC

  dba Garfield pharmacy

  • Community/Retail Pharmacy
  • Clinton Township, MI
  • NPI 1174965537
  Authorized official Same address or phone

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1922629732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21665 AMBASSADOR DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441892",
            "telephone_number": "248-722-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 OWEN RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301755",
            "telephone_number": "810-714-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKOUS",
        "first_name": "JINAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RXconnect",
            "affiliation": "N",
            "address_1": "3255 Owen Rd",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484301755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Patrick Hamilton, PT
• Mindy Marie Hamp, OTR/L
• Patricia A Hanaford
• Hancook Counseling, PLLC
• Tammy Lee Hancook, LMSW
• Emma Harman
• Patricia Suzanne Harner, N.P.
• Christopher N Harrison, DO
• Randice R Harrison, MSPT
• Peter Healey

• Pharmacist in Fenton, MI
• Providers in Fenton, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.