Active NPI
Rasha Demashkieh
- Pharmacist
- Port Huron, MI
National Provider Identifier
1982236873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5315161792
- Practice address
- 3530 Pine Grove Ave
Port Huron, MI 48060-1944 - Phone
- (810) 987-7333
- NPI assigned
- Feb 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 5315161792 | MI | Primary |
Addresses
Primary practice location
3530 Pine Grove Ave
Port Huron, MI 48060-1944
Mailing address
5620 Lakeshore Rd
Fort Gratiot, MI 48059-2814
Phone (586) 420-7341
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 |
|---|---|---|---|
| 5315161792 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1982236873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 LAKESHORE RD",
"city": "FORT GRATIOT",
"state": "MI",
"postal_code": "480592814",
"telephone_number": "586-420-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480601944",
"telephone_number": "810-987-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMASHKIEH",
"first_name": "RASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5315161792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.