Andy F Alyoussef, PHARMD
Individual provider Active NPI Pharmacist · Allen Park, MI
NPI 1104766856 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1104766856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302418450 (MI)
- Practice address
- 9861 Reeck Rd
Allen Park, MI 48101-1356 - Phone
- (313) 406-6626
- NPI assigned
- Mar 31, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302418450 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302418450 | MI | Yes |
Addresses
Primary practice location
9861 Reeck Rd
Allen Park, MI 48101-1356
Mailing address
24 Blair LN
Dearborn, MI 48120-1301
Phone (313) 663-6458
Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.