Organization Active NPI

Fox Hills Medi-Mart Discount Drug Center, Inc.

Doing business as Fox Hills Medi-Mart

  • Community/Retail Pharmacy
  • Royal Oak, MI
National Provider Identifier
1144269085
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301003021 Issued in MI
Legal business name
FOX HILLS MEDI-MART DISCOUNT DRUG CENTER, INC.
Doing business as
Fox Hills Medi-Mart
Practice address
1821 N Campbell Rd Ste B
Royal Oak, MI 48073-4237
Phone
(248) 858-2225
Fax
(248) 858-2527
NPI assigned
Jun 6, 2006
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Mr. Wessam Yousef, RPHNPI 1881062883
Title
President
Phone
(248) 858-2225

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 5301003021 MI Primary

Addresses

Primary practice location

1821 N Campbell Rd Ste B
Royal Oak, MI 48073-4237

Mailing address

1821 N Campbell Rd
Royal Oak, MI 48073-4237
Phone (248) 858-2225

Other identifiers 2

IdentifierTypeStateIssuer
2528957MedicaidMI
2312926OtherNABP

Other names 1

  • FOX HILLS MEDI-MART Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930032097 MI DME Supplier - Pharmacy 3678691409 Practice locations: Royal Oak, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1539 S Opdyke Rd
Bloomfield Hills, MI 48304
Phone (248) 339-6790

1821 N Campbell Rd
Royal Oak, MI 48073
Phone (248) 548-3333

1821 N Campbell Rd
Ste B
Royal Oak, MI 48073
Phone (248) 858-2225

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1144269085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N CAMPBELL RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734237",
            "telephone_number": "248-858-2225",
            "fax_number": "248-858-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N CAMPBELL RD STE B",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734237",
            "telephone_number": "248-858-2225",
            "fax_number": "248-858-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX HILLS MEDI-MART DISCOUNT DRUG CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "WESSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-858-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301003021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2528957",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2312926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOX HILLS MEDI-MART",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOX HILLS MEDI-MART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.

Verify at the official NPI Registry.