Fairlane Medical Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009570 Issued in MI

Legal business name

FAIRLANE MEDICAL PHARMACY INC

Doing business as

Fairlane Medical Pharmacy

Practice address

6050 Greenfield Rd
Dearborn, MI 48126-6004

Phone

(313) 526-8000

Fax

(313) 526-8001

NPI assigned

Apr 28, 2011

Last updated

Jun 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammed Ibrahim, RPH

Title

Member

Phone

(313) 526-8000

Specialties & licenses 3

Addresses

Other names 1

• FAIRLANE MEDICAL PHARMACY Doing business as

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1023309788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481211147",
            "telephone_number": "313-526-8000",
            "fax_number": "313-526-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481266004",
            "telephone_number": "313-526-8000",
            "fax_number": "313-526-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLANE MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-526-8000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009570",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRLANE MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arkan Faid
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• Meranda Adel Fairchild, MD
• Latoria Fairfax
• Fairlane Home Healthcare LLC
• Fairview Group, Inc.
• Fairview Radiology, P.C.
• Faith Medical PLLC
• Fajr Physical Therapy Clinic LLC (FAJR Physical Therapy Clinic)
• Summer Fakhouri, D.C.

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Jun 22, 2011; 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.