Individual provider Active NPI

Hassan Ahmad Hammoud

  • Pharmacist
  • Lincoln Park, MI
National Provider Identifier
1982192738
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302045447 Issued in MI
Practice address
1684 Fort St
Lincoln Park, MI 48146-1909
Phone
(313) 383-5700
NPI assigned
Apr 27, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302045447 MI Primary

Addresses

Primary practice location

1684 Fort St
Lincoln Park, MI 48146-1909

Mailing address

6961 Payne Ave
Dearborn, MI 48126-1796
Phone (313) 338-4241

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

LicenseStateTypeSpecialty
5302045447MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
HH Investment Holdings LLC CurrentSince May 16, 2021 Accepting new patients
Healthy Drugs LLC Past Accepting new patients

Locations

1684 Fort St
Lincoln Park, MI 48146
Phone (313) 383-5700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1982192738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 PAYNE AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261796",
            "telephone_number": "313-338-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461909",
            "telephone_number": "313-383-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOUD",
        "first_name": "HASSAN",
        "middle_name": "AHMAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302045447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.