BASSAM HARATI (NPI# 1639637135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639637135 |
| Entity Type | Individual |
| Full Name | BASSAM HARATI |
| Practice Address |
14470 Livernois Ave Detroit MI 48238-2005 |
| Practice Telephone | 3133407777 |
| Practice Fax Number | 3133404449 |
| Mailing Telephone | 3133407777 |
| Mailing Fax Number | 3133404449 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302035339 | MI | Pharmacy Service Providers |
| Street Address |
14470 LIVERNOIS AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48238-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053355271 | Andy's Motown Pharmacy | Pharmacy | 14470 Livernois Ave, Detroit, MI 48238-2005 | 2006-06-16 |
| 1558700138 | Sam's Pharmacy Pllc | Pharmacy | 14470 Livernois Ave, Detroit, MI 48238-2005 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700372224 | Cardinal Home Healthcare Group, LLC | Home Health | 3165 Oakman Boulvard, Detroit, MI 48238 | 2018-07-09 |
| 1063963684 | Lydia Adkins | Counselor | 13505 Lasalle St, Apt 305, Detroit, MI 48238 | 2016-10-19 |
| 1750837324 | A Plus Care Transportation LLC | Clinic/Center | 14586 Wisconsin, Detroit, MI 48238 | 2016-09-01 |
| 1518413756 | Valarie Grayer - Felton | Case Manager/Care Coordinator | 15941 Fairfield St., Detroit, MI 48238 | 2016-08-28 |
| 1144773722 | Juanna Cherise Hardaway | Case Manager/Care Coordinator | 1935 Pasadena, Detroit, MI 48238 | 2016-07-29 |
| 1336503556 | Gladys S Chambers | Home Health Aide | 15473 Wisconsin, Detroit, MI 48238 | 2016-04-13 |
| 1891158788 | Karla Gill | Licensed Practical Nurse | 153060 Wildemere, Detroit, MI 48238 | 2016-03-30 |
| 1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
| 1508264102 | Sav-med Pharmacy Inc | Pharmacy | 2645 West Davison, Detroit, MI 48238 | 2014-12-12 |
| 1760887020 | Monument Dental PC | Dentist | 15510 Livernois Avenue, Detroit, MI 48238 | 2014-10-29 |
| Find all providers in zip 48238 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099600 | Isidro II Inc | Pharmacist | 10809 Mack Ave, Detroit, MI 48214-2119 | 2019-05-21 |
| 1336626654 | Kyle Weslosky | Pharmacist | 4646 John R Road, Detroit, MI 48201 | 2018-07-20 |
| 1174009872 | Lauren Depietro | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2018-07-16 |
| 1346619772 | Kelly Saha | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2015-09-16 |
| 1477938538 | Ryan Timothy Kuhn | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2015-07-29 |
| 1023417490 | John Dilodovico | Pharmacist | 2799 W Grand Blvd, W-1018, Detroit, MI 48202-2608 | 2014-08-21 |
| 1972902443 | Amber Lanae Smith | Pharmacist | 259 Mack Ave, Detroit, MI 48201-2427 | 2014-08-20 |
| 1447688155 | Arin Jantz | Pharmacist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-10-16 |
| 1104252659 | Trisann Rendulic | Pharmacist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2013-09-16 |
| 1477994192 | Carrie Stuart Molesa | Pharmacist | 3990 John R St, Huh - Dept of Pharmacy Services, Detroit, MI 48201-2018 | 2013-07-10 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.