Organization Active NPI

Instacare Pharmacy LLC

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1760924872
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011048 Issued in MI
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

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Rafi RayesNPI 1588106694
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2166148OtherPK

Other names 1

  • INSTACARE PHARMACY LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171226001160 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1658639554 Practice locations: Dearborn, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.