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MEDIAID PHARMACY
NPI 1548136195
Pharmacy - Community/Retail Pharmacy in Hamtramck, MI

Active since October 13, 2025
11828 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212(313) 409-2192 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mediaid Pharmacy NPPES

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

MEDIAID PHARMACY (NPI 1548136195) is a healthcare organization registered as a community/retail pharmacy in Hamtramck, Michigan and active in the NPI registry since October 2025. The organization lists Mohammed Mustafizur Rahman, Owner, as its authorized official.

NPPES Registry Identity

NPI1548136195
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEDIAID PHARMACY
Location Address11828 JOSEPH CAMPAU STHamtramck, MI 48212-3049
Mailing Address11828 Joseph Campau StHamtramck, MI 48212-3049
Phone(313) 409-2192
Organization SubpartNo
Authorized OfficialMohammed Mustafizur RahmanOwner · (313) 409-2192
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 12, 2025
✔ NPI 1548136195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
11828 JOSEPH CAMPAU ST, Hamtramck, MI 48212
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Other Providers at the Same Location NPPES 3

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

METRO MEDICAL CENTER PLLC
Internal Medicine
11828 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Wayne County (313) 707-0122
JOTEE MAHISHA UDDIN PA
Physician Assistant
11828 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Wayne County (313) 707-0122
MST JANNATUL MAWA CHOWDHURY PA-C
Physician Assistant
11828 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Wayne County (313) 707-0122

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 Mediaid Pharmacy's NPI number?

The NPI number for Mediaid Pharmacy is 1548136195. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Mediaid Pharmacy located?

Mediaid Pharmacy is located at 11828 Joseph Campau St, Hamtramck, MI 48212. The listed phone number is (313) 409-2192.

What is Mediaid Pharmacy'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 Mediaid Pharmacy was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.