EXECUTIVE INFUSION SERVICES LLC


Address: 17000 Executive Plaza Dr, Suite 201-a, Dearborn, MI 48126-2793
Phone: 3139823220

EXECUTIVE INFUSION SERVICES LLC (NPI# 1427412394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427412394
Entity Type Organization
Organization Name EXECUTIVE INFUSION SERVICES LLC
Other Organization Name EXECUTIVE INFUSION SERVICES LLC
Practice Address 17000 Executive Plaza Dr
Suite 201-a
Dearborn
MI 48126-2793
Practice Telephone 3139823220
Practice Fax Number 3139823221
Mailing Telephone 3139823220
Mailing Fax Number 3139823221
Enumeration Date 2016-04-07
Last Update Date 2016-06-16
Authorized Official Name AIMAN ABUEIDA (OWNER)
Authorized Official Telephone 3139823770
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336H0001X Pharmacy
Specialization: Home Infusion Therapy Pharmacy
Suppliers
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0002X Pharmacy
Specialization: Clinic Pharmacy
5301010096 MI Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2160549 01

Other Provider/Organization Names

Other Name Type Code
Executive Infusion Services LLC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548712979 Executive Infusion Services LLC Pharmacy 12821 D-13 S. Saqinaw St, Grand Blank, MI 48439 2016-11-02
1245591338 Executive Infusion Services LLC Pharmacy 17000 Executive Plaza Dr, Suite 201, Dearborn, MI 48126-2793 2012-06-05

Office Location

Street Address 17000 EXECUTIVE PLAZA DR
SUITE 201-A
City DEARBORN
State MI
Zip Code 48126-2793

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912270489 Dearborn Family Pharmacy Pharmacy 17000 Executive Plaza Dr, Dearborn, MI 48126-2610 2012-02-14
1861038168 New Clear Images Clinic/Center 17000 Executive Plaza Dr, Dearborn, MI 48126-2793 2019-11-21
1104206259 Preventative Solutions LLC Clinic/Center 17000 Executive Plaza Dr, Suite 106, Dearborn, MI 48126-2793 2015-06-04
1952715153 Executive Plaza Medical, P.C. General Practice 17000 Executive Plaza Dr, Suite 103, Dearborn, MI 48126-2793 2014-06-16
1386056356 Executive Ambulatory Surgical Center, LLC Clinic/Center 17000 Executive Plaza Dr, Suite 301, Dearborn, MI 48126-2793 2014-05-27
1578995940 Mohammed A Arman Md, PC Clinical Medical Laboratory 17000 Executive Plaza Dr, Suite 202, Dearborn, MI 48126-2610 2013-08-07
1316290729 Dearborn Family Pharmacy LLC Pharmacy 17000 Executive Plaza Dr, Suite 104, Dearborn, MI 48126-2610 2012-10-23
1245591338 Executive Infusion Services LLC Pharmacy 17000 Executive Plaza Dr, Suite 201, Dearborn, MI 48126-2793 2012-06-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194323303 Aq Dental Group Pllc Clinic/Center 10413 Ford Road, Units M & N, Dearborn, MI 48126 2020-10-12
1275148165 Anasthesia Pain Service PC Clinic/Center 15350 Michigan Ave, Dearborn, MI 48126 2020-09-09
1417501958 Ximena Noemi Ortega Behavior Technician 6241 Miller Rd, Dearborn, MI 48126 2019-08-01
1912478827 Abar Alghazali Behavior Technician 4641 Lois, Dearborn, MI 48126 2018-12-17
1861972457 Laboratory Specialists of Michigan, LLC Clinical Medical Laboratory 13530 Michigan Ave Ste 240, Dearborn, MI 48126 2018-08-14
1528544806 Farah Osman Pharmacist 14715 Ford Rd, Dearborn, MI 48126 2018-07-19
1255821328 Loyal Pharmacy LLC Pharmacy 7118 Greenfield Rd St(b), Dearborn, MI 48126 2018-05-15
1952803900 Neetika Kesar Physical Therapist 15051, Ford Road, Dearborn, MI 48126 2018-03-06
1396247607 David Jerome Kurcz Physical Therapy Assistant 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 2018-03-02
1043732506 Shadiya Ahmed Dentist 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 2017-07-16
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Taxonomy Information

Taxonomy Code 3336C0002X
Grouping Suppliers
Classification Pharmacy
Specialization Clinic Pharmacy

Taxonomy Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134744907 Us Health Pharmaceuticals Pharmacy 23350 Greenfield Rd # 200b, Oak Park, MI 48237-2496 2020-06-08
1386286615 Campus Drugs LLC Pharmacy 1065 N Huron River Dr Ste 600, Ypsilanti, MI 48197-3296 2019-10-08
1457850786 Village Pharmacy Compounding 2 Inc Pharmacy 23077 Greenfield Rd Ste 100, Southfield, MI 48075-3744 2018-02-01
1225122724 Blue Care Network of Michigan Pharmacy II Pharmacy 1401 S. Creyts Rd., Lansing, MI 48917 2006-10-02
1427167196 Springwells Clinical Pharmacy Inc. Pharmacy 2117 Springwells St, Detroit, MI 48209-1507 2006-08-29
1023059920 Monroe Health Ventures, Inc Pharmacy 100 Powell Dr Suite 1, Dundee, MI 48131 2006-06-10
1861441768 Pmc Pharmacy Inc Pharmacy 1241 W Broadway St, Three Rivers, MI 49093-8319 2006-05-08
1023654902 Drug Store Inc Pharmacy 2236 Us Highway 23 S, Alpena, MI 49707-4544 2019-11-26
1033679071 Quad/med, LLC Pharmacy 715 E Main St, Midland, MI 48640 2019-03-25
1700377538 Covenant Community Care, Inc. Pharmacy 5716 Michigan Ave, Detroit, MI 48210-3039 2018-05-29
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Competitor

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City DEARBORN
Zip Code 48126

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Dataset Information

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.

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