Dearborn Apothecary LLC
NPI 1417507336 · Community/Retail Pharmacy · Dearborn, MI
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dearborn Apothecary LLC is a Community/Retail Pharmacy organization in Dearborn, MI (NPI 1417507336).
Provider details
- NPI number
- 1417507336
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rana Kaddouh, Owner(313) 908-2212
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs 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
Registry dates
- Enumerated
- 2019-09-12
- Last updated
- 2021-07-13
- Certified
- 2021-07-13
Frequently asked questions
- What is Dearborn Apothecary LLC's NPI number?
- Dearborn Apothecary LLC's National Provider Identifier (NPI) is 1417507336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dearborn Apothecary LLC?
- Dearborn Apothecary LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Dearborn Apothecary LLC located?
- Dearborn Apothecary LLC's practice location on file with NPPES is 14715 Ford Rd, Dearborn, MI 48126-3040.
- What is Dearborn Apothecary LLC's phone number?
- The practice phone number listed in the NPPES registry for Dearborn Apothecary LLC is (313) 908-2212.
- Does Dearborn Apothecary LLC accept Medicare?
- Dearborn Apothecary 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 Dearborn Apothecary LLC?
- The authorized official listed on Dearborn Apothecary LLC's NPPES record is Rana Kaddouh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dearborn Apothecary LLC's NPI active?
- Yes — Dearborn Apothecary LLC's NPI (1417507336) is active in the NPPES registry as of the last update on 2021-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.