Masha-Moss Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301006924 Issued in MI

Legal business name

MASHA-MOSS INC

Doing business as

Family Center Pharmacy

Practice address

4245 S Beech Daly Rd
Dearborn Heights, MI 48125

Phone

(313) 563-1700

Fax

(313) 563-2770

NPI assigned

Nov 6, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Abi O Masha-Moss, RPH

Title

Chief Pharmacist

Phone

(313) 563-1700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Family Center Pharmacy Doing business as

Locations

Practitioners 1

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

• Abiodun Masha-Moss, RPH

  • Pharmacist
  • South Rockwood, MI
  • NPI 1124733951
  NPD

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

{
    "created_epoch": "1131235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1013998251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S BEECH DALY RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "313-563-1700",
            "fax_number": "313-563-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 S BEECH DALY RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "313-563-1700",
            "fax_number": "313-563-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHA-MOSS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-06",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MASHA-MOSS",
        "authorized_official_first_name": "ABI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "313-563-1700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301006924",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4069218",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE",
            "identifier": "5301006924",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Heront Marcarian, MD
• Natasha Marchese
• Leah Michelle Marcotte, P.A.
• Meaghan Marion, DPT
• Marshall Family Pharmacy LLC (Marshall Family Pharmacy)
• Wanda Y Massey, LMSW
• Yasmeen Massiri, DDS
• Matthew J. Vertin DDS,PC
• Max Recovery LLC
• Maxpro Rehab LLC

• Community/Retail Pharmacy in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.