Dearborn Apothecary LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DEARBORN APOTHECARY LLC

Practice address

14715 Ford Rd
Dearborn, MI 48126-3040

Phone

(313) 908-2212

Fax

(313) 908-2608

NPI assigned

Sep 12, 2019

Last updated

Jul 13, 2021By 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

Rana Kaddouh

Title

Owner

Phone

(313) 908-2212

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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.

• Zeina Bazzi, PHARMD

  • Pharmacist
  • Dearborn, MI
  • NPI 1336921428
  NPD
• Farah Osman

  • Pharmacist
  • Dearborn, MI
  • NPI 1528544806
  NPD
• Leila Almosawi, PHARMD

  • Pharmacist
  • Dearborn, MI
  • NPI 1639088891
  NPD (past)

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1417507336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14715 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263040",
            "telephone_number": "313-908-2212",
            "fax_number": "313-908-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263040",
            "telephone_number": "313-908-2212",
            "fax_number": "313-908-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "KADDOUH",
        "authorized_official_first_name": "RANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-908-2212"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario JC De Meireles, MD
• Chelsea Dean, BSN
• Molly Dean
• Theresa Ann Dean, FNP-C, CNM
• Dearborn Allergy & Asthma Clinic PC
• Dearborn Auto Injury Center LLC
• Dearborn Behavioral Counseling and ABA Therapy Center PLLC (Greatstart Pediatric Therapy)
• Dearborn Caremor Pharmacy
• Dearborn Center for Physical Therapy
• Dearborn Clinical Associates

• 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 Jul 13, 2021; 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.