Premium Pharmacy LLC
NPI 1669884524 · 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)
Premium Pharmacy LLC is a Community/Retail Pharmacy organization in Dearborn, MI (NPI 1669884524).
Provider details
- NPI number
- 1669884524
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wafaa Hakim, Pharmacist(313) 209-3339
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-05-27
- Last updated
- 2014-11-07
Frequently asked questions
- What is Premium Pharmacy LLC's NPI number?
- Premium Pharmacy LLC's National Provider Identifier (NPI) is 1669884524, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Pharmacy LLC?
- Premium Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Premium Pharmacy LLC located?
- Premium Pharmacy LLC's practice location on file with NPPES is 3808 Monroe St, Dearborn, MI 48124-3620.
- What is Premium Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Premium Pharmacy LLC is (313) 209-3339.
- Does Premium Pharmacy LLC accept Medicare?
- Premium Pharmacy 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 Premium Pharmacy LLC?
- The authorized official listed on Premium Pharmacy LLC's NPPES record is Wafaa Hakim, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Pharmacy LLC's NPI active?
- Yes — Premium Pharmacy LLC's NPI (1669884524) is active in the NPPES registry as of the last update on 2014-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.