Organization Active NPI

Mya Pharmacy LLC

  • Community/Retail Pharmacy
  • Dearborn Heights, MI
National Provider Identifier
1265869309
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.