FAIRLANE MEDICAL PHARMACY
NPI 1023309788
Pharmacy - Community/Retail Pharmacy in Dearborn, MI

Active since April 28, 2011
6050 GREENFIELD RD, DEARBORN, MI 48126(313) 526-8000(313) 526-8001 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairlane Medical Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRLANE MEDICAL PHARMACY (NPI 1023309788) is a healthcare organization registered as a community/retail pharmacy in Dearborn, Michigan and active in the NPI registry since April 2011. The organization lists Mohammed Ibrahim, Member, as its authorized official.

NPPES Registry Identity

NPI1023309788
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFAIRLANE MEDICAL PHARMACY INC
Location Address6050 GREENFIELD RDDearborn, MI 48126-6004
Mailing AddressPo Box 1147Dearborn, MI 48121-1147 · (313) 526-8000 · Fax (313) 526-8001
Fax(313) 526-8001
Organization SubpartNo
Authorized OfficialMohammed IbrahimMember · (313) 526-8000
Enumeration DateApril 28, 2011
Last NPPES UpdateJune 22, 2011
NPI 1023309788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MI · 5301009570
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
6050 GREENFIELD RD, Dearborn, MI 48126

Other Names 1

Doing Business AsFairlane Medical Pharmacy

Other Identifiers 2

Medicaid1023309788MI
Other2375447Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
6050 GREENFIELD RD
DEARBORN, MI 48126
Physician Assistant
6050 GREENFIELD RD
DEARBORN, MI 48126
Nurse Practitioner (Acute Care)
6050 GREENFIELD RD
DEARBORN, MI 48126
Family Medicine
6050 GREENFIELD RD, SUITE 101
DEARBORN, MI 48126
Internal Medicine (Interventional Cardiology)
6050 GREENFIELD RD, SUITE 101
DEARBORN, MI 48126
Physician Assistant (Medical)
6050 GREENFIELD RD
DEARBORN, MI 48126
Internal Medicine (Cardiovascular Disease)
6050 GREENFIELD RD, SUITE 101
DEARBORN, MI 48126
Family Medicine
6050 GREENFIELD RD
DEARBORN, MI 48126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairlane Medical Pharmacy Inc's NPI number?

The NPI number for Fairlane Medical Pharmacy Inc is 1023309788. It was assigned to this organization in the NPPES registry on April 28, 2011. The provider is doing business as Fairlane Medical Pharmacy.

Where is Fairlane Medical Pharmacy Inc located?

Fairlane Medical Pharmacy Inc is located at 6050 Greenfield Rd, Dearborn, MI 48126. The listed phone number is (313) 526-8000.

What is Fairlane Medical Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Fairlane Medical Pharmacy Inc was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.