NPIMap

Organization Active NPI

Hayat Pharmacy 19 LLC

Doing business as Hayat Pharmacy 19

  • Community/Retail Pharmacy
  • Milwaukee, WI
National Provider Identifier
1962053421
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HAYAT PHARMACY 19 LLC
Doing business as
Hayat Pharmacy 19
Practice address
807 W Layton Ave Ste a
Milwaukee, WI 53221-2426
Phone
(414) 483-0000
Fax
(414) 483-0006
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Dr. Hashim Zaibak, PHARMDNPI 1740527969
Title
Pharmacist
Phone
(414) 712-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

807 W Layton Ave Ste a
Milwaukee, WI 53221-2426

Mailing address

PO Box 13337
Milwaukee, WI 53213-0337
Phone (414) 483-0000

Other names 1

  • Hayat Pharmacy 19 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210204001172 WI Part B Supplier - Mass Immunization (Roster Biller Only) 9436563392 Practice locations: Milwaukee, WI
O20220119000253 WI DME Supplier - Pharmacy 9436563392 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory
Tax ID family
Hayat Pharmacy 19 LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

813 W Layton Ave
Milwaukee, WI 53221
Phone (262) 893-2100

805 W Layton Ave
Ste A
Milwaukee, WI 53221

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1962053421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13337",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532130337",
            "telephone_number": "414-483-0000",
            "fax_number": "414-483-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W LAYTON AVE STE A",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212426",
            "telephone_number": "414-483-0000",
            "fax_number": "414-483-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYAT PHARMACY 19 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "ZAIBAK",
        "authorized_official_first_name": "HASHIM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "414-712-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hayat Pharmacy 19",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hayat Pharmacy 19",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.