Premium Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PREMIUM CARE PHARMACY LLC

Practice address

15945 19 Mile Rd Ste 202F
Clinton Township, MI 48038-1147

Phone

(586) 981-0360

Fax

(586) 981-0367

NPI assigned

Jul 3, 2025

Organization subpart

No

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

Authorized official

Name

Nada Dakroub

Title

Owner

Phone

(313) 377-6623

Specialties & licenses 1

Addresses

Other names 1

• ADS - Clinton Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Adam Rettig, PHARMD

  • Pharmacist
  • Clinton Township, MI
  • NPI 1386504025
  NPD

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1316837263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD STE 202F",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-981-0360",
            "fax_number": "586-981-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD STE 202F",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-981-0360",
            "fax_number": "586-981-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "DAKROUB",
        "authorized_official_first_name": "NADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-377-6623"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADS - Clinton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Jean Prainito, LMSW
• Cassidy Leonia Pratt
• Latonya Denise Pratt
• Preferred Counseling Professionals LLC
• Premier Pharmacy LLC
• Christopher Paul Press, DDS
• Prestigious Transportation
• Timothy Samuel Prevost, M.S.W.
• Cynthia Ann Prieur, D.D.S.
• Robert G. Prieur, D.D.S.

• Community/Retail Pharmacy in Clinton Township, MI
• Providers in Clinton Township, 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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.