Crown Specialty Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010295 Issued in MI

Legal business name

CROWN SPECIALTY PHARMACY LLC

Doing business as

crown pharmacy

Practice address

24401 Plymouth Rd
Redford, MI 48239-1616

Phone

(313) 532-3784

Fax

(313) 532-3718

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ali Jamil Fakih, RPHNPI 1174261630

Title

President

Phone

(313) 532-3784

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• crown pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 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 2

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

• Ali J Fakih

  • Pharmacist
  • Redford, MI
  • NPI 1174261630
  NPD Authorized official
• Paul Czarnecki, PHARMD

  • Pharmacist
  • Redford, MI
  • NPI 1821427121
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1184750713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 PLYMOUTH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391616",
            "telephone_number": "313-532-3784",
            "fax_number": "313-532-3718"
        },
        {
            "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",
            "fax_number": "313-532-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "FAKIH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "JAMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-532-3784",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010295",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2346802",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "crown pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "crown pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Continuity Case Management Services
• Sonya Kaye Cook-Flucker
• Felicia Cooper, PSS
• Melissa Coulter
• Kelly S Cromarty, D.C.
• Tanisha Lanai Crump
• Bridget Cuneo, PA
• Diane M Curry
• Douglas Anthony Cutcher, DPM
• Jennifer Cyplik

• Community/Retail Pharmacy in Redford, MI
• Providers in Redford, 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 Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.