Organization Active NPI

Lifetime RX Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1316405848
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIFETIME RX PHARMACY
Practice address
1022 N Telegraph Rd Suite 1
Dearborn, MI 48128
Phone
(313) 908-9722
Fax
(313) 908-9769
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Mr. Hasan Ali SabbaghNPI 1124581244
Title
Owner
Phone
(313) 348-0561

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 Primary

Addresses

Primary practice location

1022 N Telegraph Rd Suite 1
Dearborn, MI 48128

Mailing address

1022 N Telegraph Suite 1
Dearborn, MI 48128
Phone (313) 970-2458

National Provider Directory

National Provider Directory

Locations

1022 N Telegraph Rd
Ste 1
Dearborn, MI 48128
Phone (313) 908-9722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1316405848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N TELEGRAPH SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48128",
            "telephone_number": "313-970-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N TELEGRAPH RD SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48128",
            "telephone_number": "313-908-9722",
            "fax_number": "313-908-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME RX PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "HASAN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-348-0561",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Dec 13, 2023; 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.