MD Royal Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011061 Issued in MI

Legal business name

MD ROYAL PHARMACY INC

Doing business as

MD Royal Pharmacy, Inc

Practice address

12866 Fort St
Southgate, MI 48195-1060

Phone

(734) 288-3588

Fax

(734) 288-3610

NPI assigned

Nov 18, 2016

Last updated

Jul 19, 2018By 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

Mohamad Dakdouk, RPH, PHARM DNPI 1053438614

Title

Owner, Pic, Ao

Phone

(734) 288-3588

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MD ROYAL PHARMACY, INC Doing business as

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.

• Mohamad H Dakdouk, DR.

  • Pharmacist
  • Southgate, MI
  • NPI 1053438614
  NPD Authorized official

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1437692779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12866 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951060",
            "telephone_number": "734-288-3588",
            "fax_number": "734-288-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12866 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951060",
            "telephone_number": "734-288-3588",
            "fax_number": "734-288-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ROYAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "DAKDOUK",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "734-288-3588",
        "authorized_official_credential": "RPH, PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5301011061",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD ROYAL PHARMACY, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Rae McMullen, LLMSW
• Caitlin McPartlin
• Kelley McShane
• Carolyn Young McWilliams, MA
• Ellyse McWright
• Jessica Irene Meadows, M.A., CCC-SLP
• Chelsea Means
• Antonee Medina
• Michael Medlen, M.A., TLLP
• Megha Mohey MD PC

• Community/Retail Pharmacy in Southgate, MI
• Providers in Southgate, 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 19, 2018; 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.