Organization Active NPI

Care Compound Pharmacy Mi LLC

  • Compounding Pharmacy
  • Dearborn, MI
National Provider Identifier
1053119610
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
CARE COMPOUND PHARMACY MI LLC
Practice address
5111 Auto Club Dr Ste 101a
Dearborn, MI 48126-2749
Phone
(313) 879-0346
Fax
(313) 528-2266
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Mundir Shwehdi
Title
Owner
Phone
(734) 658-9129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

5111 Auto Club Dr Ste 101a
Dearborn, MI 48126-2749

Mailing address

5111 Auto Club Dr Ste 101a
Dearborn, MI 48126-2749
Phone (313) 879-0346

National Provider Directory

National Provider Directory

Locations

5111 Auto Club Dr
Ste 101A
Dearborn, MI 48126
Phone (313) 879-0346

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1053119610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR STE 101A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262749",
            "telephone_number": "313-879-0346",
            "fax_number": "313-528-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 AUTO CLUB DR STE 101A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262749",
            "telephone_number": "313-879-0346",
            "fax_number": "313-528-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COMPOUND PHARMACY MI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "SHWEHDI",
        "authorized_official_first_name": "MUNDIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-658-9129"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.