Abes Drug Store 102 LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ABES DRUG STORE 102 LLC

Practice address

30695 Little Mack Ave Ste F
Roseville, MI 48066-1771

Phone

(586) 459-0836

Fax

(586) 571-0650

NPI assigned

Nov 25, 2024

Last updated

Nov 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramzi Kassem, PHARMDNPI 1750893160

Title

Ceo

Phone

(586) 981-0901

Specialties & licenses 1

Addresses

Tax ID family

Abe's Drug Store2 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.

• Abes Drug Store 102 LLC

  dba Abe's Drug Store

  • Community/Retail Pharmacy
  • Roseville, MI
  • NPI 1366044018
  NPD tax ID

Practitioners 1

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.

• Ramzi Kassem, PHARMD

  • Pharmacist
  • Warren, MI
  • NPI 1750893160
  Authorized official Same address or phone

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1972329985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883751",
            "telephone_number": "586-459-0836",
            "fax_number": "586-571-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30695 LITTLE MACK AVE STE F",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661771",
            "telephone_number": "586-459-0836",
            "fax_number": "586-571-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABES DRUG STORE 102 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "RAMZI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-981-0901",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Safe Place Clinical Counseling PLLC
• Natasha Aazami, DDS
• Veronica Mary Abbo, PA-C
• Ameer Abdulrazzak, MD
• Abes Drug Store 102 LLC (Abe's Drug Store)
• Robert E Abrams, RPH
• Margot G Abundis, M.D.
• Aaron N Achatz, FNP-C
• James Darryl Adamo, M.D.
• Faith Adams, BSW

• Long Term Care Pharmacy in Roseville, MI
• Providers in Roseville, MI by specialty
• Long Term Care Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.