Palm Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010685 Issued in MI

Legal business name

PALM PHARMACY

Practice address

6650 Greenfield Rd
Dearborn, MI 48126-1701

Phone

(313) 436-0156

Fax

(313) 436-0153

NPI assigned

Jun 25, 2015

Organization subpart

Yes

Parent organization

MEHDINA LLCAs reported in NPPES

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

Authorized official

Name

Ali El Khatib

Title

Owner

Phone

(313) 485-9722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1972985943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-436-0156",
            "fax_number": "313-436-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261701",
            "telephone_number": "313-436-0156",
            "fax_number": "313-436-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEHDINA LLC",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "EL KHATIB",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-485-9722"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.