Organization Active NPI

Apollo Medical Pharmacy LLC

Doing business as Pharmor Pharmacy - Evergreen

  • Point of Service
  • Detroit, MI
National Provider Identifier
1962801373
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
5315049752 Issued in MI
Legal business name
APOLLO MEDICAL PHARMACY LLC
Doing business as
Pharmor Pharmacy - Evergreen
Practice address
20250 West 7 Mile Road
Detroit, MI 48219
Phone
(313) 535-9755
NPI assigned
Aug 21, 2014
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Dr. Omar Abazeed, PHARMDNPI 1780396358
Title
Pharmacist in Charge
Phone
(313) 535-9755

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
Point of Service 305S00000X 5315049752 MI Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

20250 West 7 Mile Road
Detroit, MI 48219

Mailing address

20250 W 7 Mile Rd
Detroit, MI 48219-3469
Phone (313) 535-9755

Other names 1

  • Pharmor Pharmacy - Evergreen Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1962801373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20250 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193469",
            "telephone_number": "313-535-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20250 WEST 7 MILE ROAD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48219",
            "telephone_number": "313-535-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "ABAZEED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "313-535-9755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "5315049752",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmor Pharmacy - Evergreen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.