Organization Active NPI

MD Hiller

  • Pharmacy
  • Dearborn, MI
National Provider Identifier
1619457264
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5301011085 Issued in MI
Legal business name
MD HILLER
Doing business as
MDH Compounding Pharmacy
Practice address
2021 Monroe Street
Suite #103
Dearborn, MI 48124
Phone
(877) 751-9010
Fax
(248) 436-4767
NPI assigned
Aug 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Alieddin Kamal Alaiwat, PHARM.D.
Title
Pharmacist in Charge
Phone
(877) 751-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5301011085 MI Primary

Addresses

Primary practice location

2021 Monroe Street
Suite #103
Dearborn, MI 48124

Mailing address

2021 Monroe Street
Suite #103
Dearborn, MI 48124
Phone (877) 751-9010

Other names 1

  • MDH Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2021 Monroe St
Ste 103
Dearborn, MI 48124
Phone (313) 561-2225

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1619457264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 MONROE STREET",
            "address_2": "SUITE #103",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "877-751-9010",
            "fax_number": "248-436-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 MONROE STREET",
            "address_2": "SUITE #103",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "877-751-9010",
            "fax_number": "248-436-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "ALAIWAT",
        "authorized_official_first_name": "ALIEDDIN",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "877-751-9010",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301011085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDH Compounding 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 27, 2019; 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.