Pelham Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010530 Issued in MI

Legal business name

PELHAM PHARMACY

Practice address

3815 Pelham St
Suite 3
Dearborn, MI 48124-3852

Phone

(313) 565-2745

Fax

(313) 565-2747

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Mike Haidar

Title

RPH

Phone

(313) 565-2745

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Imad Haidardiab

  • Pharmacist
  • Dearborn, MI
  • NPI 1881263929
  NPD

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1568871382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PELHAM ST",
            "address_2": "SUITE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243852",
            "telephone_number": "313-565-2745",
            "fax_number": "313-565-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 PELHAM ST",
            "address_2": "SUITE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243852",
            "telephone_number": "313-565-2745",
            "fax_number": "313-565-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "313-565-2745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Health Management
• Tannisha Pearson
• Pediatric Behavior Solutions LLC
• Pedro V. Caing, M.D., P.C.
• Pelham Community RX PLLC (Pelham Community Rx)
• Pelham Primary Care PC
• Brian John Peltz, RPH
• India Pemberton
• Candace Pendergraft, LLBSW
• Abagayle Pendleton

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, 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 Aug 6, 2014; 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.