Abes Drug Store 102 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ABES DRUG STORE 102 LLC

Doing business as

Abe's Drug Store

Practice address

30695 Little Mack Ave Ste F
Roseville, MI 48066-1771

Phone

(586) 459-0836

Fax

(586) 571-0650

NPI assigned

Nov 9, 2020

Last updated

Nov 30, 2023By 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

Ramzi Kassem, PHARMDNPI 1750893160

Title

Partner

Phone

(313) 377-6623

Specialties & licenses 1

Addresses

Other names 1

• Abe's Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Abe's Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abes Drug Store 102 LLC

  • Long Term Care Pharmacy
  • Roseville, MI
  • NPI 1972329985
  NPD tax ID

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.

• Ramzi Kassem, PHARMD

  • Pharmacist
  • Warren, MI
  • NPI 1750893160
  NPD Authorized official
• Maher Kassem Awada, RPH

  • Pharmacist
  • Warren, MI
  • NPI 1073284386
  NPD

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1366044018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883751",
            "telephone_number": "586-459-0836",
            "fax_number": "586-571-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30695 LITTLE MACK AVE STE F",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661771",
            "telephone_number": "586-459-0836",
            "fax_number": "586-571-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABES DRUG STORE 102 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "RAMZI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "313-377-6623",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abe's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Daughter's Touch Home Health Care LLC
• A Safe Place Clinical Counseling PLLC
• Natasha Aazami, DDS
• Veronica Mary Abbo, PA-C
• Ameer Abdulrazzak, MD
• Abes Drug Store 102 LLC
• Robert E Abrams, RPH
• Margot G Abundis, M.D.
• Aaron N Achatz, FNP-C
• James Darryl Adamo, M.D.

• Community/Retail Pharmacy in Roseville, MI
• Providers in Roseville, 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 30, 2023; 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.