Active NPI
Rasheed Elwaseem
- Pharmacist
- Eastpointe, MI
National Provider Identifier
1962113753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302414762
- Practice address
- 20715 Kelly Rd
Eastpointe, MI 48021-3113 - Phone
- (586) 872-2525
- NPI assigned
- Dec 12, 2022
- Last updated
- Dec 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302414762 | MI | Primary |
Addresses
Primary practice location
20715 Kelly Rd
Eastpointe, MI 48021-3113
Mailing address
1321 Riverside
Dearborn, MI 48120-1729
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302414762 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elwaseem -Moore Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1962113753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 RIVERSIDE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20715 KELLY RD",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213113",
"telephone_number": "586-872-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWASEEM",
"first_name": "RASHEED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302414762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.