Integrated Health Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

INTEGRATED HEALTH PHARMACY LLC

Doing business as

Modern Health Pharmacy of Canton

Practice address

49650 Cherry Hill Rd.
Canton, MI 48187

Phone

(313) 415-6078

NPI assigned

Sep 16, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohammed FawazNPI 1861998114

Title

Owner/Agent

Phone

(734) 961-8885

Specialties & licenses 2

Addresses

Other names 1

• Modern Health Pharmacy of Canton Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Fawaz, PHARMD

  • Pharmacist
  • Dearborn, MI
  • NPI 1861998114
  NPD Authorized official

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

{
    "created_epoch": "1537056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1447734496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49650 CHERRY HILL RD.",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "313-415-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49650 CHERRY HILL RD.",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48187",
            "telephone_number": "313-415-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-16",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "FAWAZ",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER/AGENT",
        "authorized_official_telephone_number": "734-961-8885"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Health Pharmacy of Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Canton, MI
• Providers in Canton, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.