Active NPI
Dura Corp
Doing business as The Medicine Shoppe
- Community/Retail Pharmacy
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DURA CORP
- Doing business as
- The Medicine Shoppe
- Practice address
- 3979 17 Mile Rd
Sterling Heights, MI 48310-6835 - Phone
- (586) 268-6266
- Fax
- (586) 268-6113
- NPI assigned
- Aug 20, 2006
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rawan Khader, RPH
- Title
- Owner Pharmacist
- Phone
- (586) 268-6266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5301006377 | MI | |
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
3979 17 Mile Rd
Sterling Heights, MI 48310-6835
Mailing address
3979 17 Mile Rd
Sterling Heights, MI 48310-6835
Phone (586) 268-6266
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2355382 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 3218681 | Medicaid | MI |
Other names 1
- THE MEDICINE SHOPPE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053572 | MI | DME Supplier - Pharmacy | 6507987252 | Practice locations: Sterling Heights, MI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dura Corp | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Nebulizer Equipment and/or Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
3979 17 Mile Rd
Sterling Heights, MI 48310
Phone (586) 268-6266
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Sterling Heights, MI
- NPI 1013068295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1629183652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3979 17 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483106835",
"telephone_number": "586-268-6266",
"fax_number": "586-268-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3979 17 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483106835",
"telephone_number": "586-268-6266",
"fax_number": "586-268-6113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURA CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "KHADER",
"authorized_official_first_name": "RAWAN",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "586-268-6266",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MI",
"license": "5301006377",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2355382",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3218681",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE MEDICINE SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.