Organization Active NPI

Rayan's Pharmacy

Doing business as Healthsource Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1588054944
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010619 Issued in MI
Legal business name
RAYAN'S PHARMACY
Doing business as
Healthsource Pharmacy
Practice address
15044 Michigan Ave
Ste B
Dearborn, MI 48126-2914
Phone
(313) 633-1668
Fax
(313) 406-2925
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Rayan Abu Alaywa
Title
Owner
Phone
(313) 633-1668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301010619 MI Primary

Addresses

Primary practice location

15044 Michigan Ave
Ste B
Dearborn, MI 48126-2914

Mailing address

15044 Michigan Ave
Ste B
Dearborn, MI 48126-2914
Phone (313) 633-1668

Other names 1

  • Healthsource Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

15044 Michigan Ave
Ste B
Dearborn, MI 48126
Phone (313) 633-1668

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1588054944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15044 MICHIGAN AVE",
            "address_2": "STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262914",
            "telephone_number": "313-633-1668",
            "fax_number": "313-406-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15044 MICHIGAN AVE",
            "address_2": "STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262914",
            "telephone_number": "313-633-1668",
            "fax_number": "313-406-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYAN'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "ABU ALAYWA",
        "authorized_official_first_name": "RAYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-633-1668"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsource Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.