Organization Active NPI

Bingham Pharmacy, PLLC

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1700461100
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BINGHAM PHARMACY, PLLC
Practice address
13320 W Warren Ave Ste B
Dearborn, MI 48126-1417
Phone
(313) 581-4451
Fax
(313) 581-7560
NPI assigned
Mar 17, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MOHAMED AYAD, M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Mohamed H. Ayad, M.D.NPI 1417924309
Title
President
Phone
(954) 496-1430

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

13320 W Warren Ave Ste B
Dearborn, MI 48126-1417

Mailing address

13320 W Warren Ave Ste B
Dearborn, MI 48126-1417
Phone (313) 581-4451

National Provider Directory

National Provider Directory
Part of
Mohamed Ayad MD PC

Locations

13320 W Warren Ave
Ste B
Dearborn, MI 48126
Phone (313) 581-4451

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1700461100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 W WARREN AVE STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261417",
            "telephone_number": "313-581-4451",
            "fax_number": "313-581-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 W WARREN AVE STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261417",
            "telephone_number": "313-581-4451",
            "fax_number": "313-581-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINGHAM PHARMACY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOHAMED AYAD, M.D., P.C.",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "AYAD",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-496-1430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "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 Dec 21, 2021; 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.