Organization Active NPI

Dundee Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1497280259
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DUNDEE FAMILY PHARMACY LLC
Practice address
2925 Russell St Ste 100
Detroit, MI 48207-4825
Phone
(313) 462-4828
Fax
(313) 462-4804
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Ali Abdul-HadiNPI 1306278254
Title
Owner
Phone
(313) 995-1174

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301011158 MI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2925 Russell St Ste 100
Detroit, MI 48207-4825

Mailing address

340 Crescent Dr
Dearborn, MI 48124-1208
Phone (313) 615-1016

Other identifiers 1

IdentifierTypeStateIssuer
6074993MedicaidMI

Other names 1

  • Dundee Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

25227 Trowbridge St
Dearborn, MI 48124

2925 Russell St
Ste 100
Detroit, MI 48207
Phone (313) 462-4828

2925 Russell St
Ste A
Detroit, MI 48207

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": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1497280259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CRESCENT DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241208",
            "telephone_number": "313-615-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 RUSSELL ST STE 100",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074825",
            "telephone_number": "313-462-4828",
            "fax_number": "313-462-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDEE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "ABDUL-HADI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-995-1174"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301011158",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6074993",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dundee Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dundee Family 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 Aug 10, 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.