Organization Active NPI

Mitten Meds Pharmacy Corp

  • Community/Retail Pharmacy
  • Wyandotte, MI
National Provider Identifier
1124976295
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MITTEN MEDS PHARMACY CORP
Practice address
1746 Ford Ave
Wyandotte, MI 48192-2306
Phone
(313) 717-2704
NPI assigned
Mar 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Marwah DabajaNPI 1437896537
Title
Pharmacist
Phone
(313) 717-2704

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1746 Ford Ave
Wyandotte, MI 48192-2306

Mailing address

1746 Ford Ave
Wyandotte, MI 48192-2306

National Provider Directory

National Provider Directory

Locations

1746 Ford Ave
Wyandotte, MI 48192
Phone (313) 717-2704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1124976295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922306",
            "telephone_number": "313-717-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTEN MEDS PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "DABAJA",
        "authorized_official_first_name": "MARWAH",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-717-2704"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.