Palm Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009804 Issued in MI

Legal business name

PALM DRUGS INC

Doing business as

Palm Drugs

Practice address

6650 Greenfield Rd
Dearborn, MI 48126-1701

Phone

(313) 436-0156

Fax

(313) 436-0153

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mustafa Alsamarae

Title

Pharmacist

Phone

(313) 673-1151

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Palm Drugs Doing business as

Locations

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1689949430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-436-0156",
            "fax_number": "313-436-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-436-0156",
            "fax_number": "313-436-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "ALSAMARAE",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-673-1151"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133377",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chalonda Palmer, NURSE
• Krystal Palmer
• Pamela Czuj Dba Personal Dynamics Center (Personal Dynamics Center)

• 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 May 19, 2014; 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.