Lifetime RX of Dearborn Heights

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIFETIME RX OF DEARBORN HEIGHTS

Practice address

4245 Beech S Beech Daly Suite 101
Dearbron Heights, MI 48125

Phone

(313) 768-5037

Fax

(313) 768-5039

NPI assigned

Oct 12, 2023

Last updated

Dec 13, 2023By 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

Hasan SabbaghNPI 1124581244

Title

Owner

Phone

(313) 970-2458

Specialties & licenses 1

Addresses

Other names 1

• Lifetime RX Of Dearborn Height LLC Former legal business name

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.

• Hasan A Sabbagh

  • Pharmacist
  • Dearborn, MI
  • NPI 1124581244
  NPD Authorized official

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1417738691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 BEECH S BEECH DALY SUITE 101",
            "city": "DEARBRON HEIGHTS",
            "state": "MI",
            "postal_code": "48125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 BEECH S BEECH DALY SUITE 101",
            "city": "DEARBRON HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "313-768-5037",
            "fax_number": "313-768-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME RX OF DEARBORN HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-12-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "HASAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-970-2458"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime RX Of Dearborn Height LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lifetime RX Of Dearborn Height LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.