Organization Active NPI

Mymed Pharmacy

  • Community/Retail Pharmacy
  • Ypsilanti, MI
National Provider Identifier
1407553407
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MYMED PHARMACY
Practice address
2616 Washtenaw Rd
Ypsilanti, MI 48197-1505
Phone
(313) 674-0002
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Ali Daher
Title
Owner
Phone
(313) 674-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2616 Washtenaw Rd
Ypsilanti, MI 48197-1505

Mailing address

904 N John Daly Rd
Dearborn Heights, MI 48127-4104

Other identifiers 1

IdentifierTypeStateIssuer
802874672OtherMIART OF ORG ID #

National Provider Directory

National Provider Directory

Locations

2616 Washtenaw Rd
Ypsilanti, MI 48197
Phone (313) 674-0002

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1407553407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 N JOHN DALY RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971505",
            "telephone_number": "313-674-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMED PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "DAHER",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-674-0002"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART OF ORG ID #",
            "identifier": "802874672",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.