Active NPI
Oneway Hager Care LLC
- Pharmacy
- Detroit, MI
National Provider Identifier
1417665159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- ONEWAY HAGER CARE LLC
- Practice address
- 4407 Livernois Ave
Detroit, MI 48210-2437 - Phone
- (313) 262-6541
- Fax
- (313) 262-6542
- NPI assigned
- Nov 11, 2022
- 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
- Afaff Mohamed Ahmed Hagerahma, PHARMACIST
- Title
- Pharmacist in Char
- Phone
- (313) 310-7494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
4407 Livernois Ave
Detroit, MI 48210-2437
Mailing address
4570 Walwit St
Dearborn, MI 48126-3072
Phone (313) 310-7494
Other names 1
- Majesty Care Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230110000364 | MI | Part B Supplier - Pharmacy | 7416327325 | Practice locations: Detroit, MI |
National Provider Directory
National Provider DirectoryLocations
4407 Livernois Ave
Detroit, MI 48210
Phone (313) 262-6541
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": "1668124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1417665159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4570 WALWIT ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263072",
"telephone_number": "313-310-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 LIVERNOIS AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482102437",
"telephone_number": "313-262-6541",
"fax_number": "313-262-6542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONEWAY HAGER CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-11",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A",
"authorized_official_last_name": "HAGERAHMA",
"authorized_official_first_name": "AFAFF",
"authorized_official_middle_name": "MOHAMED AHMED",
"authorized_official_title_or_position": "PHARMACIST IN CHAR",
"authorized_official_telephone_number": "313-310-7494",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Majesty Care Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Majesty Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.