Organization Active NPI

Arbor Lane Pharmacy at Fox Run Inc.

Doing business as Arbor Lane Pharmacy At Fox Run

  • Community/Retail Pharmacy
  • Novi, MI
National Provider Identifier
1639491574
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009289 Issued in MI
Legal business name
ARBOR LANE PHARMACY AT FOX RUN INC.
Doing business as
Arbor Lane Pharmacy At Fox Run
Practice address
41100 Fox Run
Novi, MI 48377-4804
Phone
(248) 668-8778
Fax
(248) 668-8769
NPI assigned
Feb 19, 2010
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Alex Fakih
Title
Owner
Phone
(248) 668-8778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301009289 MI Primary

Addresses

Primary practice location

41100 Fox Run
Novi, MI 48377-4804

Mailing address

26423 Doxtator St
Dearborn Heights, MI 48127-3396
Phone (313) 999-2249

Other identifiers 1

IdentifierTypeStateIssuer
2123874OtherPK

Other names 1

  • Arbor Lane Pharmacy At Fox Run Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201201001025 MI Part B Supplier - Mass Immunization (Roster Biller Only) 9638580368 Practice locations: Novi, MI

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1639491574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26423 DOXTATOR ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273396",
            "telephone_number": "313-999-2249",
            "fax_number": "248-668-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41100 FOX RUN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774804",
            "telephone_number": "248-668-8778",
            "fax_number": "248-668-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR LANE PHARMACY AT FOX RUN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "FAKIH",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-668-8778"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Lane Pharmacy At Fox Run",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.