MIDWEST COMPOUNDING LLC (NPI# 1043859457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043859457 |
| Entity Type | Organization |
| Organization Name | MIDWEST COMPOUNDING LLC |
| Practice Address |
25306 W Warren St Dearborn Heights MI 48127-2102 |
| Practice Telephone | 3137897665 |
| Mailing Telephone | 3137897665 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | MOUHAMMAD FARHAT (PIC) |
| Authorized Official Telephone | 3137897665 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Street Address |
25306 W WARREN ST |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48127-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945842 | Lashay Donnetta Byars Biles | Licensed Practical Nurse | 25639 Ford Rd., Dearborn Heights, MI 48127 | 2019-11-04 |
| 1174098982 | George Mousa Mufarreh | Specialist/Technologist, Other | 21630 Breechcrest St., Dearborn Heights, MI 48127 | 2018-10-08 |
| 1285110312 | Fastcaremd Urgent Care PC | Clinic/Center | 6012 N Vernon St, Dearborn Heights, MI 48127 | 2018-07-11 |
| 1356845689 | Wayne Medical Supply | Durable Medical Equipment & Medical Supplies | 26808 Simone St., Dearborn Hts., MI 48127 | 2018-03-21 |
| 1538516729 | Reliable Rehab LLC | Clinic/Center | 22101 W. Warren Ave, Dearborn Heights, MI 48127 | 2016-05-18 |
| 1407232739 | Tri-care Physical Therpay, LLC | Clinic/Center | 24100 W. Warren Ave, Dearborn Heights, MI 48127 | 2015-08-10 |
| 1083012322 | Golden Physical Therapy Pllc | Internal Medicine | 22243 West Warren St, Dearborn Heights, MI 48127 | 2014-12-19 |
| 1225448079 | Kristen Georgina-elizabeth Bogden | Occupational Therapist | 22241 Ann Arbor Trail, Dearborn Heights, MI 48127 | 2014-05-02 |
| 1306276183 | Qazi Healthcare | Family Medicine | 25150 Ford Rd, Ste 100, Dearborn Heights, MI 48127 | 2013-11-15 |
| 1497193957 | Keyyan Medical Pllc | Internal Medicine | 22239 West Warren Ave, Dearborn Heights, MI 48127 | 2013-06-06 |
| Find all providers in zip 48127 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700125523 | Julias Family Pharmacy | Pharmacy | 3915 Pelham St, Dearborn Heights, MI 48125-3118 | 2013-02-14 |
| 1932437712 | Todds Pharmacy Inc | Pharmacy | 25871 Ford Rd, Dearborn Heights, MI 48127-2934 | 2009-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457908 | Mills Compounding Pharmacy, LLC | Pharmacy | 1744 W Maple Rd Ste B, Birmingham, MI 48009-1545 | 2020-08-17 |
| 1114570504 | Advance Care Rx Pharmacy | Pharmacy | 12097 Conant St, Hamtramck, MI 48212-2716 | 2019-07-24 |
| 1811550536 | Good Med Pharmacy, LLC | Pharmacy | 2900 Golfside Dr Ste 3, Ann Arbor, MI 48108-1410 | 2019-04-18 |
| 1457815151 | Apothecary & Co LLC | Pharmacy | 51 S Washington St Ste D, Oxford, MI 48371-6418 | 2019-01-27 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1588010334 | Select Care Pharmacy LLC | Pharmacy | 28003 John R Rd, Madison Heights, MI 48071-2809 | 2016-05-11 |
| 1669843488 | Discount Drugs LLC | Pharmacy | 19145 Allen Rd Ste 105, Brownstown Twp, MI 48183-6812 | 2015-10-20 |
| 1073981957 | Creative Compounding Center, Inc. | Pharmacy | 631 N Van Dyke Rd, Imlay City, MI 48444-1181 | 2015-09-09 |
| 1780078428 | Carewell Pharmacy LLC | Pharmacy | 41940 Hayes Rd, Clinton Township, MI 48038-5841 | 2015-03-19 |
| 1255739280 | I Pharmacy 2 LLC | Pharmacy | 31193 Plymouth Rd, Livonia, MI 48150-2103 | 2014-12-08 |
| Find all providers with the same taxonomy | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.