Active NPI
Caremed Pharmacy LLC
- Community/Retail Pharmacy
- Allen Park, MI
National Provider Identifier
1740969815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CAREMED PHARMACY LLC
- Practice address
- 7210 Allen Rd
Allen Park, MI 48101-2060 - Phone
- (313) 645-1111
- Fax
- (313) 645-7777
- NPI assigned
- Jul 14, 2023
- 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
- Oussama Rayes
- Title
- Owner/Pic
- Phone
- (313) 645-1111
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
7210 Allen Rd
Allen Park, MI 48101-2060
Mailing address
7210 Allen Rd
Allen Park, MI 48101-2060
Phone (313) 645-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240112000390 | MI | Part B Supplier - Pharmacy | 9436500634 | Practice locations: Allen Park, MI |
National Provider Directory
National Provider DirectoryLocations
7210 Allen Rd
Allen Park, MI 48101
Phone (313) 645-1111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dearborn, MI
- NPI 1073283446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1740969815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 ALLEN RD",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481012060",
"telephone_number": "313-645-1111",
"fax_number": "313-645-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7210 ALLEN RD",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481012060",
"telephone_number": "313-645-1111",
"fax_number": "313-645-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREMED PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-14",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "RAYES",
"authorized_official_first_name": "OUSSAMA",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "313-645-1111"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.