Prime Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011147 Issued in MI

Legal business name

PRIME PHARMACY LLC

Practice address

1948 Ford Ave
Wyandotte, MI 48192-2308

Phone

(734) 309-7082

Fax

(734) 309-7039

NPI assigned

Mar 31, 2017

Last updated

Jul 21, 2022By 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

Mohammad HamdanNPI 1831566785

Title

Owner

Phone

(734) 309-7082

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Mohammad A. Hamdan, PHARM D.

  • Pharmacist
  • Dearborn Heights, MI
  • NPI 1831566785
  NPD Authorized official

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174055925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "734-309-7082",
            "fax_number": "734-309-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922308",
            "telephone_number": "734-309-7082",
            "fax_number": "734-309-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAMDAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-309-7082"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preimer Orthopedics
• Annette H Prescod-Bourne, MSW
• Linda L Price, MNT
• Marla Price, DO
• Emily Catherine Prihoda
• Prime Rheumatology Center PLLC
• Jan Prusinowski, P.A.-C
• Amber Camille Pugh, M.D.
• Pure Psychiatry of Michigan PLLC
• Mahmoud W. M. Qandeel, MD

• Community/Retail Pharmacy in Wyandotte, MI
• Providers in Wyandotte, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.