Abes Drug Store 103 LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ABES DRUG STORE 103 LLC

Doing business as

Eastern rx

Practice address

1159 E Michigan Ave Ste C
Ypsilanti, MI 48198-5807

Phone

(734) 485-9900

Fax

(734) 485-9300

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Ahmad Alouh

Title

Owner/ Pharmacist in Charge

Phone

(810) 728-5048

Specialties & licenses 1

Addresses

Other names 1

• Eastern rx Doing business as

Tax ID family

Abe's Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abes Drug Store 103 LLC

  dba Abe's Drug Store

  • Community/Retail Pharmacy
  • Ypsilanti, MI
  • NPI 1801527999
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmad Kaml Alouh

  • Pharmacist
  • Flint, MI
  • NPI 1609423847
  NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1063254266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 E MICHIGAN AVE STE C",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985807",
            "telephone_number": "734-485-9900",
            "fax_number": "734-485-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E MICHIGAN AVE STE C",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985807",
            "telephone_number": "734-485-9900",
            "fax_number": "734-485-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABES DRUG STORE 103 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A",
        "authorized_official_last_name": "ALOUH",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "810-728-5048"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Abdo
• Ahmed Abdukadir
• Fawaz R Abdulkarim, DO
• Noor Sultan Abdullatif
• Samuel Abebe, MD
• Abes Drug Store 103 LLC (Abe's Drug Store)
• Samar Abouelella, PHARD
• Mohannad Abousaleh, MD
• Hussein Aboutaam
• Mary Kay Abraham, NP

• Long Term Care Pharmacy in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.