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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2160549 | 01 |
Other Name | Type Code |
---|---|
Executive Infusion Services LLC | Doing Business As Name - Organization |
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 |
Street Address |
17000 EXECUTIVE PLAZA DR SUITE 201-A |
City | DEARBORN |
State | MI |
Zip Code | 48126-2793 |
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 |
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 |
Find all providers in zip 48126 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
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] |
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1700377538 | Covenant Community Care, Inc. | Pharmacy | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2018-05-29 |
Find all providers with the same taxonomy |
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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.