PELHAM PHARMACY (NPI# 1568871382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568871382 |
| Entity Type | Organization |
| Organization Name | PELHAM PHARMACY |
| Practice Address |
3815 Pelham St Suite 3 Dearborn MI 48124-3852 |
| Practice Telephone | 3135652745 |
| Practice Fax Number | 3135652747 |
| Mailing Telephone | 3135652745 |
| Mailing Fax Number | 3135652747 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Authorized Official Name | MR. MIKE HAIDAR (RPH) |
| Authorized Official Telephone | 3135652745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010530 | MI | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PELHAM PHARMACY | 6555 Greene St Ste 3, Philadelphia, PA 19119-4040 |
| Street Address |
3815 PELHAM ST SUITE 3 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518923325 | Andrew L Marcus | Psychiatry & Neurology | 3815 Pelham St, Suite 14, Dearborn, MI 48124-3852 | 2006-04-21 |
| 1073085411 | Heba Sobh | Pharmacist | 3815 Pelham St, Dearborn, MI 48124-3852 | 2018-12-26 |
| 1871069039 | Core Psych Pllc | Counselor | 3815 Pelham St, Dearborn, MI 48124-3852 | 2018-10-15 |
| 1336665728 | Pelham Primary Care PC | Internal Medicine | 3815 Pelham St, Dearborn, MI 48124-3852 | 2017-08-17 |
| 1487178174 | Amy Amira Yousif | Nurse Practitioner | 3815 Pelham St, Dearborn, MI 48124-3852 | 2017-08-03 |
| 1568707594 | Neurology Care Center PC | Psychiatry & Neurology | 3815 Pelham St, Dearborn, MI 48124-3852 | 2012-12-03 |
| 1386973733 | Rana Rkein | Physician Assistant | 3815 Pelham St, Dearborn, MI 48124-3852 | 2009-12-14 |
| 1629305685 | Hyun S Chang M D P C | Surgery | 3815 Pelham St, Suite 5, Dearborn, MI 48124-3852 | 2009-11-12 |
| 1831357466 | James D. Gerard D.d.s. & A. Marla Gerard D.d.s., P.c | Dentist | 3815 Pelham St, Suite 11, Dearborn, MI 48124-3852 | 2008-05-30 |
| 1104090083 | Andrew L. Marcus, M.d.,p.c. | Psychiatry & Neurology | 3815 Pelham St, Suite 14, Dearborn, MI 48124-3852 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621190 | Azam Mohsen Mesleh | Pharmacy | 6811 Theisen St, Dearborn, MI 48126-1927 | 2020-08-28 |
| 1568099281 | My Pharmacy | Pharmacy | 2200 Monroe St Ste 4, Dearborn, MI 48124-3058 | 2020-03-24 |
| 1548890684 | Lfc Pharmacy LLC | Pharmacy | 15400 Michigan Ave Ste 2, Dearborn, MI 48126-3491 | 2020-01-16 |
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1164988986 | Sam Pharmacy LLC | Pharmacy | 9550 Dix, Dearborn, MI 48120-1529 | 2019-02-17 |
| 1447724281 | Schaefer Trudell | Pharmacy | 5711 Schaefer Rd # B, Dearborn, MI 48126-2290 | 2019-01-15 |
| 1568947018 | Med Mart Pharmacy 1 LLC | Pharmacy | 13001 Michigan Ave, Dearborn, MI 48126-3553 | 2018-10-01 |
| 1750891867 | Hope Rx LLC | Pharmacy | 21755 Tenny St, Dearborn, MI 48124-2929 | 2017-10-03 |
| 1932624954 | Nasser Pharmacy Inc | Pharmacy | 10509 Dix, Dearborn, MI 48120-1581 | 2017-08-10 |
| 1497280259 | Dundee Family Pharmacy LLC | Pharmacy | 25227 Trowbridge, Dearborn, MI 48124-4812 | 2017-04-28 |
| Find all providers in DEARBORN | ||||
Please comment or provide details below to improve the information on PELHAM PHARMACY.
| 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.