DEARBORN COMMUNITY CARE PHARMACY LLC (NPI# 1629527734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629527734 |
| Entity Type | Organization |
| Organization Name | DEARBORN COMMUNITY CARE PHARMACY LLC |
| Practice Address |
15120 Michigan Ave Dearborn MI 48126-3768 |
| Practice Telephone | 3135582121 |
| Practice Fax Number | 3135582020 |
| Mailing Telephone | 3135582121 |
| Mailing Fax Number | 3135582020 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2017-02-05 |
| Authorized Official Name | NABIL MOHSEN MOHSEN AL-SUBARI (MEMBER) |
| Authorized Official Telephone | 3135582121 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301011007 | MI | Suppliers |
| Street Address |
15120 MICHIGAN AVE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588651897 | Mustafa Siraj Bohra | Internal Medicine | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2005-10-03 |
| 1841766599 | Nitha Mary Abraham | Physician Assistant | 15120 Michigan Ave, Dearborn, MI 48126-3768 | 2018-10-21 |
| 1760996797 | Fatima Syed | Nurse Practitioner | 15120 Michigan Ave, Dearborn, MI 48126 | 2017-11-29 |
| 1619304490 | Mark Hnatiuk Md Plc | Otolaryngology | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2013-10-11 |
| 1659560696 | Oakman Medical Group P.C. | Internal Medicine | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2007-10-16 |
| 1346323458 | Melda Luzadas | Physical Medicine & Rehabilitation | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2006-10-23 |
| 1922199850 | Mustafa S Bohra Md Plc | Internal Medicine | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2006-09-27 |
| 1609839315 | George W Hnatiuk | Internal Medicine | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2006-04-11 |
| 1730149451 | Eduardo Garcia | Internal Medicine | 15120 Michigan Ave, Suite A, Dearborn, MI 48126-2916 | 2006-03-25 |
| 1811956139 | Samer Salka | Internal Medicine | 15120 Michigan Ave, Suite A, Dearborn, MI 48126-2916 | 2006-03-23 |
| Find all providers in the same location | ||||
| 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 | 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 | ||||
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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.