Organization Active NPI

Dearborn Family Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
National Provider Identifier
1912270489
Registry record updated Oct 3, 2012
On this page

Key facts

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

Updated by the provider on Oct 3, 2012

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)CodeLicenseStatePrimary
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 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.