Faid & Rana Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007084 Issued in MI

Legal business name

FAID & RANA INC

Practice address

9811 Conant St
Hamtramck, MI 48212-3877

Phone

(313) 871-1115

NPI assigned

Aug 27, 2006

Organization subpart

No

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

Authorized official

Name

Sami DabajaNPI 1720169238

Title

President/Pharmacist

Phone

(313) 871-1115

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FRD PHARMACY SAVMOR Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Sami Faid Dabaja

  • Pharmacist
  • Hamtramck, MI
  • NPI 1720169238
  NPD Authorized official
• Nabil M Al-Subari

  • Pharmacist
  • Hamtramck, MI
  • NPI 1275838567
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1164530531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123877",
            "telephone_number": "313-871-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAID & RANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "DABAJA",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "313-871-1115"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2360028",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2360028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRD PHARMACY SAVMOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Hamtramck, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.