Organization Active NPI

Prospect Pharmacy LLC

  • Community/Retail Pharmacy
  • Melvindale, MI
National Provider Identifier
1255087615
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PROSPECT PHARMACY LLC
Doing business as
Prospect Pharmacy LLC
Practice address
3702 Oakwood Blvd Ste 2
Melvindale, MI 48122-1502
Phone
(313) 768-5232
Fax
(313) 768-5231
NPI assigned
Feb 24, 2022
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Arafat Mohamed, RPHNPI 1285230086
Title
Pharmacist
Phone
(313) 258-7688

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 NU Primary

Addresses

Primary practice location

3702 Oakwood Blvd Ste 2
Melvindale, MI 48122-1502

Mailing address

3702 Oakwood Blvd Ste 2
Melvindale, MI 48122-1502
Phone (313) 768-5232

Other identifiers 1

IdentifierTypeStateIssuer
1255087615MedicaidMI

Other names 1

  • PROSPECT PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3702 Oakwood Blvd
Ste 2
Melvindale, MI 48122
Phone (313) 768-5232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1255087615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 OAKWOOD BLVD STE 2",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221502",
            "telephone_number": "313-768-5232",
            "fax_number": "313-768-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 OAKWOOD BLVD STE 2",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221502",
            "telephone_number": "313-768-5232",
            "fax_number": "313-768-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ARAFAT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-258-7688",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255087615",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROSPECT PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melvindale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.