Active NPI
Instacare Pharmacy LLC
- Community/Retail Pharmacy
- Dearborn, MI
National Provider Identifier
1760924872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301011048
- Legal business name
- INSTACARE PHARMACY LLC
- Practice address
- 14300 Michigan Ave
Dearborn, MI 48126-3417 - Phone
- (313) 800-1111
- Fax
- (313) 855-8000
- NPI assigned
- Nov 7, 2016
- 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
- Rafi Rayes
- Title
- Owner / Pharmacist
- Phone
- (313) 800-1111
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5301011048 | MI | Primary |
Addresses
Primary practice location
14300 Michigan Ave
Dearborn, MI 48126-3417
Mailing address
14300 Michigan Ave
Dearborn, MI 48126
Phone (313) 800-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2166148 | Other | PK |
Other names 1
- INSTACARE PHARMACY LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171226001160 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 1658639554 | Practice locations: Dearborn, MI |
National Provider Directory
National Provider DirectoryLocations
14300 Michigan Ave
Dearborn, MI 48126
Phone (313) 800-1111
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 1588106694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1760924872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-800-1111",
"fax_number": "313-855-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263417",
"telephone_number": "313-800-1111",
"fax_number": "313-855-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTACARE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-07",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "RAYES",
"authorized_official_first_name": "RAFI",
"authorized_official_title_or_position": "OWNER / PHARMACIST",
"authorized_official_telephone_number": "313-800-1111"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301011048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2166148",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "INSTACARE PHARMACY LLC",
"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 Sep 19, 2025; 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.