Active NPI
Mya Pharmacy LLC
- Community/Retail Pharmacy
- Dearborn Heights, MI
National Provider Identifier
1265869309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MYA PHARMACY LLC
- Practice address
- 25150 Ford Road
Suite 120
Dearborn Heights, MI 48127-3115 - Phone
- (313) 277-4044
- Fax
- (313) 277-4045
- NPI assigned
- Oct 3, 2013
- Organization subpart
- Yes
- Parent organization
- MONA FAKIH DO PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mona Youssef Fakih, DO
- Title
- Owner
- Phone
- (313) 218-4140
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
25150 Ford Road
Suite 120
Dearborn Heights, MI 48127-3115
Mailing address
25308 Marshall St
Dearborn, MI 48124
Phone (313) 218-4140
Other names 1
- Heights Rx Pharmacy
National Provider Directory
National Provider Directory- Part of
- Mona Fakih DO PC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Obstetrics & Gynecology Physician
- Dearborn Heights, MI
- NPI 1790021673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380758400000",
"number": "1265869309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25308 MARSHALL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48124",
"telephone_number": "313-218-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25150 FORD ROAD",
"address_2": "SUITE 120",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273115",
"telephone_number": "313-277-4044",
"fax_number": "313-277-4045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYA PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MONA FAKIH DO PC",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A",
"authorized_official_last_name": "FAKIH",
"authorized_official_first_name": "MONA",
"authorized_official_middle_name": "YOUSSEF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-218-4140",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heights Rx Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.