Organization Active NPI

Mercury Compounding LLC

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1235089020
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MERCURY COMPOUNDING LLC
Doing business as
Mercury Pharmacy
Practice address
4900 Mercury Dr Ste B
Dearborn, MI 48126-2947
Phone
(313) 436-0250
Fax
(313) 436-0247
NPI assigned
Jan 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Ali Moukdad, PHARMDNPI 1760734727
Title
Owner
Phone
(313) 436-0250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4900 Mercury Dr Ste B
Dearborn, MI 48126-2947

Mailing address

4900 Mercury Dr Ste B
Dearborn, MI 48126-2947
Phone (313) 436-0250

Other names 1

  • Mercury Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

4900 Mercury Dr
Ste B
Dearborn, MI 48126
Phone (313) 436-0250

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1235089020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MERCURY DR STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262947",
            "telephone_number": "313-436-0250",
            "fax_number": "313-436-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MERCURY DR STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262947",
            "telephone_number": "313-436-0250",
            "fax_number": "313-436-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "MOUKDAD",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-436-0250",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercury Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.