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MEDSOURCE PHARMACY
NPI 1174079560
Pharmacy - Community/Retail Pharmacy in Oak Park, MI

Active since August 26, 2016
15300 W 9 MILE RD STE 2, OAK PARK, MI 48237(248) 850-8594(248) 629-9839 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 18, 2017, Dec 29, 2016, Aug 31, 2016 and 1 more (4 updates tracked since 2016).

About Medsource Pharmacy NPPES

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

MEDSOURCE PHARMACY (NPI 1174079560) is a healthcare organization registered as a community/retail pharmacy in Oak Park, Michigan and active in the NPI registry since August 2016. The organization lists Hadi Dagher, Owner, Pic, Ao, as its authorized official.

NPPES Registry Identity

NPI1174079560
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDSOURCE FAMILY PHARMACY LLC
Location Address15300 W 9 MILE RD STE 2Oak Park, MI 48237-5200
Mailing Address15300 W 9 Mile Rd Ste 2Oak Park, MI 48237-5200 · (248) 850-8594 · Fax (248) 629-9839
Phone(248) 850-8594
Fax(248) 629-9839
Organization SubpartNo
Authorized OfficialHadi DagherOwner, Pic, Ao · (313) 717-2900
Enumeration DateAugust 26, 2016
Last NPPES UpdateJanuary 18, 20174 updates tracked since enumeration
✔ NPI 1174079560 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 · 5301011057
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 · Compounding PharmacyTaxonomy 3336C0004X
15300 W 9 MILE RD STE 2, Oak Park, MI 48237
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Other Names 1

Doing Business AsMedsource Pharmacy

Other Identifiers 1

Other2163895Pk

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 Medsource Family Pharmacy LLC's NPI number?

The NPI number for Medsource Family Pharmacy LLC is 1174079560. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Medsource Pharmacy.

Where is Medsource Family Pharmacy LLC located?

Medsource Family Pharmacy LLC is located at 15300 W 9 Mile Rd Ste 2, Oak Park, MI 48237. The listed phone number is (248) 850-8594.

What is Medsource Family Pharmacy LLC'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 Medsource Family Pharmacy LLC was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.