Prime Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010925 Issued in MI

Legal business name

PRIME CARE PHARMACY LLC

Doing business as

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

Last updated

Sep 19, 2025By 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

Rabih El-SibaiNPI 1811206139

Title

President, Ao

Phone

(313) 525-2425

Specialties & licenses 2

Addresses

Other names 1

• Prime Care Pharmacy LLC Doing business as

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.

• Rabih Youssef Elsibai

  • Pharmacist
  • Hamtramck, MI
  • NPI 1811206139
  Authorized official Same address or phone

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": [],
    "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
• Toni Renee Pruss
• Teanna L Puentes, MEDICAL ASSISTANT

• 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.