Active NPI
Dearborn Family Pharmacy
- Community/Retail Pharmacy
- Dearborn, MI
National Provider Identifier
1912270489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DEARBORN FAMILY PHARMACY
- Practice address
- 17000 Executive Plaza Dr
Dearborn, MI 48126-2610 - Phone
- (313) 523-5334
- Fax
- (313) 441-3700
- NPI assigned
- Feb 14, 2012
- 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
- Mr. Aiman Abueida
- Title
- Pharmacist in Charge
- Phone
- (313) 523-5334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
17000 Executive Plaza Dr
Dearborn, MI 48126-2610
Mailing address
17000 Executive Plaza Dr
Dearborn, MI 48126-2610
Phone (313) 523-5334
National Provider Directory
National Provider Directory- Tax ID family
- Dearborn Family Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Dearborn, MI
- NPI 1316290729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349222400000",
"number": "1912270489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 EXECUTIVE PLAZA DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262610",
"telephone_number": "313-523-5334",
"fax_number": "313-441-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 EXECUTIVE PLAZA DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262610",
"telephone_number": "313-523-5334",
"fax_number": "313-441-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEARBORN FAMILY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2012-10-03",
"status": "A",
"authorized_official_last_name": "ABUEIDA",
"authorized_official_first_name": "AIMAN",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "313-523-5334",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"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 Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.