Advanced Physician Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ADVANCED PHYSICIAN GROUP LLC

Doing business as

Hannahs faith in humanity Pharmacy

Practice address

13530 Michigan Ave # L2
Dearborn, MI 48126-3574

Phone

(734) 664-1147

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Tarek Mazloum, RPHNPI 1427601806

Title

Pharmacist

Phone

(734) 664-1147

Specialties & licenses 2

Addresses

Other names 1

• Hannahs faith in humanity Pharmacy Doing business as

Locations

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.

• Tarek Mazloum, RPH

  • Pharmacist
  • Canton, MI
  • NPI 1427601806
  NPD Authorized official

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1689204471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MONTESANO PARK DR",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630522469",
            "telephone_number": "573-579-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 MICHIGAN AVE # L2",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263574",
            "telephone_number": "734-664-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "MAZLOUM",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "734-664-1147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannahs faith in humanity Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hannahs faith in humanity Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Medical Supplies
• Advanced Orthopedic Supplies, Inc.
• Advanced Pain & Spine Institute PC
• Advanced Pain Specialists
• Advanced Pharmacy Plus
• Advanced Physician Group PLLC
• Advanced Pulmonary & Sleep Associates PC
• Advanced Surgery Center LLC
• Advanced Urogynecology of Michigan, P.C.
• Advocate Foe the Aged, LLC (Advocates for the Aged, LLC)

• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.