Organization Active NPI

Optimal Care Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1366453870
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OPTIMAL CARE PHARMACY
Practice address
14455 Ford Rd
Dearborn, MI 48126-3174
Phone
(313) 945-6333
Fax
(313) 945-6369
NPI assigned
Aug 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Samera Berry
Title
Owner
Phone
(313) 945-6333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301008057 MI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

14455 Ford Rd
Dearborn, MI 48126-3174

Mailing address

14455 Ford Rd
Dearborn, MI 48126-3174

Other identifiers 2

IdentifierTypeStateIssuer
2365977OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2365977MedicaidMI

National Provider Directory

National Provider Directory

Locations

14455 Ford Rd
Dearborn, MI 48126
Phone (313) 945-6333

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366453870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14455 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14455 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263174",
            "telephone_number": "313-945-6333",
            "fax_number": "313-945-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SAMERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-945-6333"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008057",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2365977",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365977",
            "state": "MI"
        }
    ],
    "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 Sep 11, 2025; 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.