Madina Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MADINA PHARMACY LLC

Doing business as

madina pharmacy llc

Practice address

8715 Joseph Campau St
Hamtramck, MI 48212-3720

Phone

(313) 405-3591

NPI assigned

Jun 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amer Alhusaini

Title

Manager

Phone

(313) 782-4099

Specialties & licenses 1

Addresses

Other names 1

• madina pharmacy llc Doing business as

Locations

Practitioners 2

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.

• Ibrahim Alwajeh

  • Pharmacist
  • Hamtramck, MI
  • NPI 1194507483
  NPD
• Waheeb Said, RPH

  • Pharmacist
  • Waterford, MI
  • NPI 1871377911
  NPD (past)

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1306412242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123720",
            "telephone_number": "313-405-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADINA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "ALHUSAINI",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-782-4099"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "madina pharmacy llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aliyah Mahdi
• Jadwiga Kazimiera Malaczynski, MD
• Deangeliz Martin
• Deanna Mason, IDC

• Community/Retail Pharmacy in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.