Active NPI
Ofp Inc
- Community/Retail Pharmacy
- Redford, MI
National Provider Identifier
1073907655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301010647
- Legal business name
- OFP INC
- Practice address
- 24224 Joy Rd Ste 103
Redford, MI 48239-1215 - Phone
- (313) 532-4000
- Fax
- (313) 532-4241
- NPI assigned
- Mar 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osama Fakih, RPH
- Title
- Owner, Pic
- Phone
- (313) 532-4000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301010647 | MI | Primary |
Addresses
Primary practice location
24224 Joy Rd Ste 103
Redford, MI 48239-1215
Mailing address
24224 Joy Rd
Suite 103
Redford, MI 48239-1215
Phone (313) 532-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2150699 | Other | PK |
Other names 1
- Arbor lane Pharmacy #3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201208000784 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800187253 | Practice locations: Redford, MI |
National Provider Directory
National Provider DirectoryLocations
24224 Joy Rd
Ste 103
Redford, MI 48239
Phone (313) 532-4000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Redford, MI
- NPI 1982200648
-
- Pharmacist
- Redford, MI
- NPI 1255923694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467244800000",
"number": "1073907655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24224 JOY RD",
"address_2": "SUITE 103",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391215",
"telephone_number": "313-532-4000",
"fax_number": "313-532-4241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24224 JOY RD STE 103",
"city": "REDFORD",
"state": "MI",
"postal_code": "482391215",
"telephone_number": "313-532-4000",
"fax_number": "313-532-4241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OFP INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-23",
"last_updated": "2016-06-30",
"status": "A",
"authorized_official_last_name": "FAKIH",
"authorized_official_first_name": "OSAMA",
"authorized_official_title_or_position": "OWNER, PIC",
"authorized_official_telephone_number": "313-532-4000",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301010647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2150699",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arbor lane Pharmacy #3",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.