Hassan Adam Fayli

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302413915 Issued in MI

Practice address

29176 Van Dyke Ave
Warren, MI 48093-6764

Phone

(586) 467-0258

NPI assigned

Oct 20, 2021

Last updated

Oct 20, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1962165514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26274 SHEAHAN DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274118",
            "telephone_number": "313-977-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29176 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936764",
            "telephone_number": "586-467-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYLI",
        "first_name": "HASSAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302413915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahzad Ahmed Farooqi, M.D.
• Jessica Farraj, OTRL
• Michael James Farrug, MA LPC SCL LSW
• Stela Faseh
• Faye Zuhairy, LLC
• Steven E Fegan, DDS
• Andrew A Feher, DDS
• Danielle Feldkamp, DPT
• Dawn Cheri Felix-Wall, PT
• Nickesha Fenton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.