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RUSSELLS PHARMACY LLC
NPI 1801905476
Pharmacy - Community/Retail Pharmacy in Detroit, MI

Active since August 29, 2006
3011 W GRAND BLVD, SUITE 107, DETROIT, MI 48202(313) 875-5384(313) 875-5490 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Dec 13, 2016 (2 updates tracked since 2016).

About Russells Pharmacy Llc NPPES

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

RUSSELLS PHARMACY LLC (NPI 1801905476) is a healthcare organization registered as a community/retail pharmacy in Detroit, Michigan and active in the NPI registry since August 2006. The organization lists Mohamed A Beydoun, Owner, as its authorized official.

NPPES Registry Identity

NPI1801905476
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRUSSELLS PHARMACY LLC
Location Address3011 W GRAND BLVD, SUITE 107Detroit, MI 48202-3096
Mailing Address3011 W Grand Blvd Ste 107Detroit, MI 48202-3068 · (313) 875-5384 · Fax (313) 875-5490
Phone(313) 875-5384
Fax(313) 875-5490
Organization SubpartNo
Authorized OfficialMohamed A BeydounOwner · (313) 378-1938
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1801905476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301004374
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.
3011 W GRAND BLVD, Detroit, MI 48202
Open in Google Maps ↗

Other Names 1

Other NameRussells Pharmacy

Other Identifiers 2

Medicaid2340292MI
Other2340292MI · Nabp Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Russells Pharmacy carries, from the Medicare DMEPOS supplier directory.

Russells Pharmacy

DMEPOS supplier · Detroit, MIOperated by Russells Fisher Pharmacy Inc
⋮

Does not accept Medicare assignment

Russells Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20609159
Medicare Participant SinceDecember 15, 2001
Supplier Location3011 West Grand Boulevard Suite 107Detroit, MI 48202
Phone(313) 875-5384
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

TRI-STATE PHYSICIANS GROUP PC
Pain Medicine (Pain Medicine)
3011 W GRAND BLVD, SUITE 306
DETROIT, MI 48202
Wayne County (313) 986-1011
CRYSTAL A. JACKSON, PH.D. , LLP, LLC
Psychologist
3011 W GRAND BLVD
DETROIT, MI 48202
Wayne County (586) 943-0563
KIM LOGAN COMMUNICATIONS CLINIC INC
Counselor (Professional)
3011 W GRAND BLVD, SUITE 423
DETROIT, MI 48202
Wayne County (313) 664-4900
TRESEA WATSON LMSW
Social Worker
3011 W GRAND BLVD, STE 2000
DETROIT, MI 48202
Wayne County (800) 972-4283
LAKEITHA GRANT
Social Worker
3011 W GRAND BLVD, STE 2000
DETROIT, MI 48202
Wayne County (800) 972-4283
NATIONAL LABORATORIES INC
Clinical Medical Laboratory
3011 W GRAND BLVD, SUITE 310
DETROIT, MI 48202
Wayne County (541) 944-1247
CHERYL LYNN COLLINS LLMSW
Social Worker
3011 W GRAND BLVD, SUITE 2000
DETROIT, MI 48202
Wayne County (313) 262-2408
TIFFANY MOZELL BURNETT MA
Counselor
3011 W GRAND BLVD, STE 2000
DETROIT, MI 48202
Wayne County (313) 263-2408

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 Russells Pharmacy LLC's NPI number?

The NPI number for Russells Pharmacy LLC is 1801905476. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is also known as Russells Pharmacy.

Where is Russells Pharmacy LLC located?

Russells Pharmacy LLC is located at 3011 W Grand Blvd Suite 107, Detroit, MI 48202. The listed phone number is (313) 875-5384.

What is Russells Pharmacy LLC's specialty?

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

Does Russells Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Russells Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Russells Pharmacy LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 40 other insurers list Russells 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 Russells Pharmacy LLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.