DEARBORN FRESH PHARMACY INC (NPI# 1699049080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699049080 |
| Entity Type | Organization |
| Organization Name | DEARBORN FRESH PHARMACY INC |
| Other Organization Name | DEARBORN FRESH PHARMACY |
| Practice Address |
13661 Colson St Ste A Dearborn MI 48126-3232 |
| Practice Telephone | 3135818801 |
| Practice Fax Number | 3135818802 |
| Mailing Telephone | 3135818801 |
| Mailing Fax Number | 3135818802 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | HASSAN ISMAIL (PRESIDENT) |
| Authorized Official Telephone | 3135818801 |
| Authorized Official Credential | B.S PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301009774 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133820 | 01 |
| Other Name | Type Code |
|---|---|
| Dearborn Fresh Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760762793 | Dearborn Fresh Pharmacy Inc | Pharmacy | 13661 Colson St, Suite A, Dearborn, MI 48126-3232 | 2011-08-22 |
| 1417221805 | Dearborn Fresh Pharmacy Inc | Pharmacy | 13661 Colson St, Suite A, Dearborn, MI 48126-3232 | 2012-03-02 |
| Street Address |
13661 COLSON ST STE A |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3232 |
| 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.