Panacea RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011331 Issued in MI

Legal business name

PANACEA RX LLC

Doing business as

Panacea Rx Pharmacy

Practice address

1650 Monroe St
Dearborn, MI 48124-2913

Phone

(313) 522-9994

NPI assigned

Mar 1, 2018

Last updated

Mar 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Farah Hamam

Title

Owner

Phone

(313) 522-9994

Specialties & licenses 1

Addresses

Other names 1

• Panacea Rx Pharmacy Doing business as

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1164924585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242913",
            "telephone_number": "313-522-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "HAMAM",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-522-9994"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panacea Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrianna Palmer
• Chalonda Palmer, NURSE
• Krystal Palmer
• Pamela Czuj Dba Personal Dynamics Center (Personal Dynamics Center)
• Panacea RX Group LLC
• Nicole Angelika-Marlen Panagiotou
• Suman Panda
• Vivek Pandey, M.D.
• Renu Manthan Pandit, M.D.
• Tejpaul Singh Pannu, MD

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Mar 1, 2018; 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.