Active NPI
Mymed Pharmacy
- Community/Retail Pharmacy
- Ypsilanti, MI
National Provider Identifier
1407553407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802874672 | Other | MI | ART OF ORG ID # |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Home Infusion Therapy Pharmacy
- Chicago, IL
- NPI 1861182941
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.