ALI SHEHADEH (NPI# 1407457757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407457757 |
| Entity Type | Individual |
| Full Name | ALI SHEHADEH |
| Practice Address |
46983 Five Mile Rd Plymouth MI 48170-2486 |
| Practice Telephone | 3137373331 |
| Mailing Telephone | 7344046065 |
| Mailing Fax Number | 7348922909 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Street Address |
46983 FIVE MILE RD |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093216616 | Superior Compounding Pharmacy LLC | Pharmacy | 46983 Five Mile Rd, Plymouth, MI 48170-2486 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093216616 | Superior Compounding Pharmacy LLC | Pharmacy | 46983 Five Mile Rd, Plymouth, MI 48170-2486 | 2018-02-28 |
| 1265965735 | Plymouth City Pharmacy LLC | Pharmacy | 41416 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2017-04-11 |
| 1811045172 | Rbf LLC | Pharmacy | 10200 6th Ave N, Plymouth, MN 55441-6399 | 2007-01-05 |
| 1548318801 | Rbf LLC | Pharmacy | 16705 County Road 24, Plymouth, MN 55447-1287 | 2007-01-05 |
| 1104999622 | Kroger Limited Partnership I | Pharmacy | 2001 N Michigan St, Plymouth, IN 46563-1020 | 2006-11-15 |
| 1124103056 | Lunds Inc | Pharmacy | 3455 Vicksburg Ln N, Plymouth, MN 55447-1319 | 2006-10-26 |
| 1861581472 | Thrifty Drug Stores Inc | Pharmacy | 6055 Nathan Ln N Ste 200a, Plymouth, MN 55442-1674 | 2006-10-12 |
| 1053405456 | Snyders Drug | Pharmacy | 4132 Lancaster Ln N, Plymouth, MN 55441-1707 | 2006-10-03 |
| 1720172075 | Snyders Drug | Pharmacy | 1425 State Hwy 101 N, Plymouth, MN 55447 | 2006-10-03 |
| 1881788339 | Balbonis Drug Store Inc | Pharmacy | 289 Court St, Plymouth, MA 02360-4380 | 2006-10-02 |
| Find all providers in PLYMOUTH | ||||
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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.