Organization Active NPI

Aljalal LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1013649995
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ALJALAL LLC
Practice address
15537 Schoolcraft St
Detroit, MI 48227-1755
Phone
(313) 529-5228
NPI assigned
Jun 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yassin MohamedNPI 1063019099
Title
Ceo
Phone
(313) 340-2445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

15537 Schoolcraft St
Detroit, MI 48227-1755

Mailing address

4216 Bingham St
Dearborn, MI 48126-3611

Other names 1

  • Medway Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

15537 Schoolcraft St
Detroit, MI 48227
Phone (313) 529-5228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1013649995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 BINGHAM ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15537 SCHOOLCRAFT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271755",
            "telephone_number": "313-529-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALJALAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "YASSIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-340-2445"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.