OrganizationActive
Eastside Pharmacy Inc
NPI 1720212681 · Community/Retail Pharmacy · Detroit, MI
Eastside Pharmacy Inc is a Community/Retail Pharmacy organization in Detroit, MI (NPI 1720212681).
Provider details
- NPI number
- 1720212681
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sam Khreizat, Owner(313) 579-1755
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
11854 E Warren Ave
Detroit, MI 48214-1664
Phone: (313) 579-1755
Fax: (313) 579-2067
Street-level locationGet directions
Mailing address
11854 E Warren Ave
Detroit, MI 48214-1664
Other names (DBA / former)
- Doing business as
- Eastside Pharmacy
Registry dates
- Enumerated
- 2009-05-07
- Last updated
- 2014-11-13
Frequently asked questions
- What is Eastside Pharmacy Inc's NPI number?
- Eastside Pharmacy Inc's National Provider Identifier (NPI) is 1720212681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Pharmacy Inc?
- Eastside Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Eastside Pharmacy Inc located?
- Eastside Pharmacy Inc's practice location on file with NPPES is 11854 E Warren Ave, Detroit, MI 48214-1664.
- What is Eastside Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Eastside Pharmacy Inc is (313) 579-1755.
- Who is the authorized official for Eastside Pharmacy Inc?
- The authorized official listed on Eastside Pharmacy Inc's NPPES record is Sam Khreizat, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Pharmacy Inc's NPI active?
- Yes — Eastside Pharmacy Inc's NPI (1720212681) is active in the NPPES registry as of the last update on 2014-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.