Ali J Fakih

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302028259 Issued in MI

Practice address

24401 Plymouth Rd
Redford, MI 48239-1616

Phone

(313) 532-3784

NPI assigned

May 24, 2022

Last updated

May 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crown Specialty Pharmacy LLC

  dba crown pharmacy

  • Community/Retail Pharmacy
  • Redford, MI
  • NPI 1184750713
  NPD Authorized official
• Par Wick Pharmacy LLC

  • Community/Retail Pharmacy
  • Taylor, MI
  • NPI 1578962395
  NPD Authorized official

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1174261630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DACOSTA ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281428",
            "telephone_number": "313-477-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 PLYMOUTH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391616",
            "telephone_number": "313-532-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKIH",
        "first_name": "ALI",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crownpharmacy1@aol.com",
            "affiliation": "N",
            "endpointDescription": "Gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24401 Plymouth Rd",
            "city": "Redford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482391616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mustafa Ettaher
• Everything 4 Mom & Baby LLC
• Exclusive Mobile Lab Service
• Express Health Urgent Care PLLC
• Fact Group Inc (Essential Physical Therapy)
• Osama M Fakih, RPH
• Jamilah Falero
• Family Drug Pharmacy V Inc
• Family Time Care
• Peter Fashho, M.A., L.P.C

• Pharmacist in Redford, MI
• Providers in Redford, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.