Prime Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010925 Issued in MI

Legal business name

PRIME CARE PHARMACY LLC

Practice address

3 Heritage Dr # 3
Southgate, MI 48195-3000

Phone

(734) 324-1290

Fax

(734) 324-1292

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Rabih El-Sibai

Title

President, Ao

Phone

(313) 525-2425

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Prime Care Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1508212366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HERITAGE DR # 3",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953000",
            "telephone_number": "734-324-1290",
            "fax_number": "734-324-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HERITAGE DR # 3",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953000",
            "telephone_number": "734-324-1290",
            "fax_number": "734-324-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "EL-SIBAI",
        "authorized_official_first_name": "RABIH",
        "authorized_official_title_or_position": "PRESIDENT,  AO",
        "authorized_official_telephone_number": "313-525-2425"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Polk, MA CCC-SLP
• Amy 1 Discussion Pollack
• Sherry Pollington
• Eleonora Porjazovska Kochoska
• Antoinette Pouokam-Longmo
• Treber Janae Privatera
• Robin Procter
• Massiel Proctor, LBSW
• Cynthia A Pruett, LMSW
• Toni Renee Pruss

• 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 Sep 19, 2025; 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.