Eastborn RX Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009915 Issued in MI

Legal business name

EASTBORN RX PHARMACY LLC

Doing business as

Eastborn RX Pharmacy

Practice address

7526 Wyoming St
Suite 1
Dearborn, MI 48126-1690

Phone

(313) 491-1010

Fax

(313) 491-2020

NPI assigned

Jul 25, 2012

Last updated

Aug 9, 2024By 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

Ali Cheaito, PHARMD

Title

Owner

Phone

(313) 491-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastborn RX Pharmacy Doing business as

Locations

Practitioners 1

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.

• Hauraa Raychouni, PHARMD

  • Pharmacist
  • Canton, MI
  • NPI 1760008569
  NPD

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1396091518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7526 WYOMING ST",
            "address_2": "SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261690",
            "telephone_number": "313-491-1010",
            "fax_number": "313-491-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7526 WYOMING ST",
            "address_2": "SUITE 1",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261690",
            "telephone_number": "313-491-1010",
            "fax_number": "313-491-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTBORN RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "CHEAITO",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-491-1010",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137262",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastborn RX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Easterseals Morc Health Care, Inc. (Easter Seals-Michigan, Inc)
• Michelle Renee Eastman
• Hillary Easton
• Eastwood Community Clinics (Eastwood Clinics)
• Angela Elaine Eburuche, FNP-C

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 9, 2024; 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.