Miramedx LLC
NPI 1023806957 · Community/Retail Pharmacy · Shelby Township, MI
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miramedx LLC is a Community/Retail Pharmacy organization in Shelby Township, MI (NPI 1023806957).
Provider details
- NPI number
- 1023806957
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Abir Kanso, Owner(626) 787-3187
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Miramedx Pharmacy
- Doing business as
- Miramedx Pharmacy
Registry dates
- Enumerated
- 2025-04-29
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Miramedx LLC's NPI number?
- Miramedx LLC's National Provider Identifier (NPI) is 1023806957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Miramedx LLC?
- Miramedx LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Miramedx LLC located?
- Miramedx LLC's practice location on file with NPPES is 2118 Auburn Rd, Shelby Township, MI 48317-3805.
- What is Miramedx LLC's phone number?
- The practice phone number listed in the NPPES registry for Miramedx LLC is (586) 803-3515.
- Does Miramedx LLC accept Medicare?
- Miramedx LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Miramedx LLC?
- The authorized official listed on Miramedx LLC's NPPES record is Abir Kanso, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Miramedx LLC's NPI active?
- Yes — Miramedx LLC's NPI (1023806957) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.