Organization Active NPI

Caremed Pharmacy LLC

  • Community/Retail Pharmacy
  • Allen Park, MI
National Provider Identifier
1740969815
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Oussama RayesNPI 1073283446
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20240112000390 MI Part B Supplier - Pharmacy 9436500634 Practice locations: Allen Park, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.