Organization Active NPI

Dearborn Specialty Pharmacy Inc

  • Pharmacist
  • Dearborn, MI
National Provider Identifier
1629407168
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
DEARBORN SPECIALTY PHARMACY INC
Practice address
6620 Schaefer Rd
Dearborn, MI 48126-4502
Phone
(313) 477-9777
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Sumaya Beydoun
Title
President
Phone
(313) 477-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

6620 Schaefer Rd
Dearborn, MI 48126-4502

Mailing address

6620 Schaefer Rd
Dearborn, MI 48126-4502
Phone (313) 477-9777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1629407168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264502",
            "telephone_number": "313-477-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264502",
            "telephone_number": "313-477-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN SPECIALTY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "SUMAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-477-9777"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2013; 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.