Lakewood Family Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LAKEWOOD FAMILY PHARMACY LLC

Practice address

17000 Executive Plaza Dr Ste 209
Dearborn, MI 48126-2793

Phone

(313) 982-3770

Fax

(313) 982-3771

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Hassan Ismail, B.S PHARMACYNPI 1316583602

Title

Owner

Phone

(313) 982-3770

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• DEARBORN FAMILY PHARMACY LTC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Hassan A Ismail

  • Pharmacist
  • Dearborn, MI
  • NPI 1316583602
  NPD Authorized official

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1326588294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 EXECUTIVE PLAZA DR STE 209",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262793",
            "telephone_number": "313-982-3770",
            "fax_number": "313-982-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 EXECUTIVE PLAZA DR STE 209",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262793",
            "telephone_number": "313-982-3770",
            "fax_number": "313-982-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-982-3770",
        "authorized_official_credential": "B.S PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011107",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383052",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEARBORN FAMILY PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikael Isiah Lagrand
• Lahc- Leaders Advancing and Helping Communities
• Stephanie Denise Lake, LMSW
• Lakewell Care LLC
• Lakewood Dental Group III
• Jesse David Lalla, LMSW
• Saraann Marie Lalonde
• Melony Sharee Lamar
• Ahisha Lamb, LLPC
• James Lambert, M.D.

• Long Term Care Pharmacy in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.