Blue Water Health Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLUE WATER HEALTH PHARMACY

Practice address

35284 23 Mile Rd Ste B
New Baltimore, MI 48047-2096

Phone

(313) 674-6559

NPI assigned

Feb 1, 2024

Organization subpart

No

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

Authorized official

Name

Yousef DabajaNPI 1295473569

Title

Owner

Phone

(313) 674-6559

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Yousef Dabaja

  • Pharmacist
  • Saint Clair Shores, MI
  • NPI 1295473569
  NPD Authorized official

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1194588285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35284 23 MILE RD STE B",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472096",
            "telephone_number": "313-674-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35284 23 MILE RD STE B",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472096",
            "telephone_number": "313-674-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE WATER HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "DABAJA",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-674-6559"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jean Basile, LPN
• Bay Pointe Endodontics PC
• Nicole Marie Beliveau, M.D.
• Bend Chiropractic Clinic PC
• Megan Cathleen Bishop, CCC-SLP
• Blue Water Urgent Care New Baltimore
• Christopher M Brieden, D.D.S.,M.S.
• Brownstone Home Care LLC
• Matthew Jay Burger, D.C.
• Calming Minds Therapy, PLLC

• Community/Retail Pharmacy in New Baltimore, MI
• Providers in New Baltimore, 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 Feb 1, 2024; 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.