Muhammad Haddi Ul Fatah

Primary specialty

PharmacistTaxonomy code 183500000X

License

23623-40 Issued in WI

Practice address

3726 22ND Ave
Kenosha, WI 53140-5300

Phone

(262) 654-6545

NPI assigned

Aug 20, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mohammad Haddi Ul Fatah Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Wisconsin CVS Pharmacy LLC

  • Pharmacy
  • Kenosha, WI
  • NPI 1174564041
  NPD (past)
• Wisconsin CVS Pharmacy LLC

  • Pharmacy
  • Glendale, WI
  • NPI 1649947573
  NPD (past)

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1922914902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S64W13896 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531502738",
            "telephone_number": "314-898-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 22ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531405300",
            "telephone_number": "262-654-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDI UL FATAH",
        "first_name": "MUHAMMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "23623-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "HADDI UL FATAH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah Gyurina, OTR
• H.R. Reinherz DPM,SC
• Laura Rebecca Haas, APNP
• Alfred M Habel, MD
• Suheal Habiba, MD
• Olivia Haessly
• Hesham Hafez
• Sarai Hagopian, OTR
• Justin Hahn, LCSW
• Jason Hajduk

• Pharmacist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.