Organization Active NPI

RX Prime LLC

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1245022532
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RX PRIME LLC
Practice address
14234 W Warren Ave
Dearborn, MI 48126-1457
Phone
(313) 850-5592
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Amanda Berry
Title
Manager
Phone
(313) 850-5592

Specialties & licenses 1

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

Addresses

Primary practice location

14234 W Warren Ave
Dearborn, MI 48126-1457

Mailing address

14234 W Warren Ave
Dearborn, MI 48126-1457
Phone (313) 850-5592

National Provider Directory

National Provider Directory

Locations

14234 W Warren Ave
Dearborn, MI 48126
Phone (313) 633-9301

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1245022532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14234 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261457",
            "telephone_number": "313-850-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14234 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261457",
            "telephone_number": "313-850-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX PRIME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-850-5592"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2025; 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.