OrganizationActive
Mediaid Pharmacy
NPI 1548136195 · Community/Retail Pharmacy · Hamtramck, MI
Mediaid Pharmacy is a Community/Retail Pharmacy organization in Hamtramck, MI (NPI 1548136195).
Provider details
- NPI number
- 1548136195
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mohammed Rahman, Owner(313) 409-2192
Specialties & taxonomies
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
11828 Joseph Campau St
Hamtramck, MI 48212-3049
Phone: (313) 409-2192
Street-level locationGet directions
Mailing address
11828 Joseph Campau St
Hamtramck, MI 48212-3049
Registry dates
- Enumerated
- 2025-10-13
- Last updated
- 2025-10-13
- Certified
- 2025-10-12
Frequently asked questions
- What is Mediaid Pharmacy's NPI number?
- Mediaid Pharmacy's National Provider Identifier (NPI) is 1548136195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mediaid Pharmacy?
- Mediaid Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mediaid Pharmacy located?
- Mediaid Pharmacy's practice location on file with NPPES is 11828 Joseph Campau St, Hamtramck, MI 48212-3049.
- What is Mediaid Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Mediaid Pharmacy is (313) 409-2192.
- Who is the authorized official for Mediaid Pharmacy?
- The authorized official listed on Mediaid Pharmacy's NPPES record is Mohammed Rahman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mediaid Pharmacy's NPI active?
- Yes — Mediaid Pharmacy's NPI (1548136195) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.