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Fairlane Medical Pharmacy Inc

Community/Retail Pharmacy in Dearborn, MI · enumerated 2011 · authorized official Mohammed Ibrahim, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023309788

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Registry record

Entity type Organization (Type 2)
Legal business name Fairlane Medical Pharmacy Inc
Other name <Unavail>
Practice address 6050 Greenfield Rd, Dearborn, MI, 48126
Fax (313) 526-8001
Enumeration date Apr 28, 2011
Last updated in NPPES Jun 22, 2011

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 5301009570 (MI) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Mohammed Ibrahim
Title Member

Other identifiers

Identifier Type State Issuer
2375447 Other - NCPDP PROVIDER IDENTIFICATION NUMBER
1023309788 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Fairlane Medical Pharmacy Inc located?
The practice location on file with NPPES is in Dearborn, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-06-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-22.