CROWN SPECIALTY PHARMACY LLC
NPI 1184750713
Pharmacy - Community/Retail Pharmacy in Redford, MI

Active since February 26, 2007CLIA 23D2276885 · Waiver
24401 PLYMOUTH RD, REDFORD, MI 48239(313) 532-3784(313) 532-3718 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2023, Apr 26, 2017 (2 updates tracked since 2017).

About Crown Specialty Pharmacy Llc NPPES

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

CROWN SPECIALTY PHARMACY LLC (NPI 1184750713), doing business as Crown Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Redford, Michigan and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Ali Jamil Fakih, President, as its authorized official.

NPPES Registry Identity

NPI1184750713
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCROWN SPECIALTY PHARMACY LLC
Location Address24401 PLYMOUTH RDRedford, MI 48239-1616
Mailing Address24401 Plymouth RdRedford, MI 48239-1616 · (313) 532-3784 · Fax (313) 532-3718
Fax(313) 532-3718
Organization SubpartNo
Authorized OfficialAli Jamil FakihPresident · (313) 532-3784
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
NPI 1184750713 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 · 5301010295
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 ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
24401 PLYMOUTH RD, Redford, MI 48239

Other Names 1

Doing Business AsCrown Pharmacy

Other Identifiers 1

Medicaid2346802MI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2276885

Crown Specialty Pharmacy LLC · Redford, MI
Active · expires Feb 15, 2027
CLIA Number23D2276885
Laboratory TypePharmacy
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorAli J. Fakih
Laboratory Phone(313) 532-3784
Laboratory LocationCrown Specialty Pharmacy LLC24401 Plymouth Road, Redford, MI 48239
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pharmacist
24401 PLYMOUTH RD
REDFORD, MI 48239

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 Crown Specialty Pharmacy LLC's NPI number?

The NPI number for Crown Specialty Pharmacy LLC is 1184750713. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as crown pharmacy.

Where is Crown Specialty Pharmacy LLC located?

Crown Specialty Pharmacy LLC is located at 24401 Plymouth Rd, Redford, MI 48239. The listed phone number is (313) 532-3784.

What is Crown Specialty Pharmacy LLC's specialty?

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

Does Crown Specialty Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2276885) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crown Specialty Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Crown Specialty Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crown Specialty Pharmacy LLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.