Active NPI
Fakih Pharmacy Inc
- Community/Retail Pharmacy
- Dearborn, MI
National Provider Identifier
1699875088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FAKIH PHARMACY INC
- Practice address
- 5711 Schaefer Rd
Dearborn, MI 48126 - Phone
- (313) 581-2424
- Fax
- (313) 581-2193
- NPI assigned
- Sep 25, 2006
- 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
- Mr. Haytham Fakih, RPH
- Title
- Owner
- Phone
- (313) 581-2424
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5711 Schaefer Rd
Dearborn, MI 48126
Mailing address
5711 Schaefer Rd
Dearborn, MI 48126
Phone (313) 581-2424
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540H20857 | Other | MI | BCBSM DME |
| 2307165 | Other | MI | NCPDP |
| 873263239 | Medicaid | MI |
Other names 1
- TRUDELL PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dearborn, MI
- NPI 1194807222
-
- Pharmacist
- Dearborn, MI
- NPI 1528544806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450051200000",
"number": "1699875088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5711 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-581-2424",
"fax_number": "313-581-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5711 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-581-2424",
"fax_number": "313-581-2193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAKIH PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2015-12-14",
"status": "A",
"authorized_official_last_name": "FAKIH",
"authorized_official_first_name": "HAYTHAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-581-2424",
"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
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM DME",
"identifier": "540H20857",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2307165",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "873263239",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TRUDELL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}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 Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.