AVICENNA PHARMACY LLC
NPI 1942953112
Pharmacy - Community/Retail Pharmacy in Hamtramck, MI

Active since January 28, 2022
9610 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212(313) 303-7480 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2022, Jan 28, 2022 (2 updates tracked since 2022).

About Avicenna Pharmacy Llc NPPES

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

AVICENNA PHARMACY LLC (NPI 1942953112) is a healthcare organization registered as a community/retail pharmacy in Hamtramck, Michigan and active in the NPI registry since January 2022. The organization lists Abatesam Elmathil, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1942953112
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameAVICENNA PHARMACY LLC
Location Address9610 JOSEPH CAMPAU STHamtramck, MI 48212-3440
Mailing Address9610 Joseph Campau StHamtramck, MI 48212-3440 · (313) 285-8070 · Fax (313) 338-3196
Organization SubpartNo
Authorized OfficialAbatesam ElmathilPharmacist In Charge · (313) 986-8150
Enumeration DateJanuary 28, 2022
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
NPI 1942953112 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.

9610 JOSEPH CAMPAU ST, Hamtramck, MI 48212

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pharmacist
9610 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212
Pharmacy
9610 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212

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 Avicenna Pharmacy LLC's NPI number?

The NPI number for Avicenna Pharmacy LLC is 1942953112. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Avicenna Pharmacy LLC located?

Avicenna Pharmacy LLC is located at 9610 Joseph Campau St, Hamtramck, MI 48212. The listed phone number is (313) 303-7480.

What is Avicenna Pharmacy LLC's specialty?

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

What insurance does Avicenna Pharmacy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Avera Health Plans, Baylor Scott and White Health Plan, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 15 other insurers list Avicenna 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 Avicenna Pharmacy LLC was last updated on November 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.