Dabaja Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009017 Issued in MI

Legal business name

DABAJA PHARMACY LLC

Practice address

2610 Washtenaw Rd
Ypsilanti, MI 48197-1505

Phone

(734) 528-9400

Fax

(734) 528-9406

NPI assigned

Dec 19, 2008

Organization subpart

No

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

Authorized official

Name

Moe Dajaba

Title

Member

Phone

(313) 212-8165

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dabaja Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1154567238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971505",
            "telephone_number": "734-528-9400",
            "fax_number": "734-528-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DABAJA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "DAJABA",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-212-8165"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2372237",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dabaja Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Joseph Curtiss III, M.D.
• Kathleen Mavourneen Cusick, PSYD
• Melinda Cutliff
• Matthew Derek Cyphert, DMA, MS-SLP
• D2 Dental of Michigan, P.C.
• Samir David Dacosta
• Lauren Dadisho, A.UD
• Laura Dahl, OTRL
• Rosemary Dahl, CTRS
• Zachery Dailey

• Community/Retail Pharmacy in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.