Active NPI
Fox Hills Medi-Mart Discount Drug Center, Inc.
Doing business as Fox Hills Medi-Mart
- Community/Retail Pharmacy
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301003021
- 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, 2024
- 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
- Mr. Wessam Yousef, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2528957 | Medicaid | MI | |
| 2312926 | Other | NABP |
Other names 1
- FOX HILLS MEDI-MART
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Fox Hills Medi-Mart, LTD
- Long Term Care Pharmacy
- Royal Oak, MI
- NPI 1588151112
3678691409
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacotherapy Pharmacist
- Royal Oak, MI
- NPI 1881062883
-
- Pharmacist
- Bloomfield Hills, MI
- NPI 1427176965
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
- Foundation Manual Physical Therapy and Performance PLLC
- Foundations Detroit,LLC
- Steven M Fouriner, PHARMD
- Andrea Marie Fowler, FNP-BC
- Fox Hills Medi-Mart Discount Drug Center Inc (Fox Hills Medi-Mart, LTD)
- Erika Fox, LMSW, ACTP
- Theresa Ann Fox, FNP-C
- Lindsey Fraley, DO
- Margaret Franchi, CRNA
- Anne Nicole Francis, IBCLC
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.