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Park Pharmacy Inc

Park Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Grosse Pointe Park, MI, holding Type 2 (organization) NPI 1295824985 since 2006. The authorized official on file is Ghada Abdallah, Owner.

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NPI 1295824985
Entity type Organization (Type 2)
Legal business name Park Pharmacy Inc
Other name <Unavail>
Practice address 15126 KERCHEVAL AVE, Grosse Pointe Park, MI, 48230
Phone 3138220100
Fax 3138220101
Enumeration date 2006-10-12
Last updated in NPPES 2016-10-14

Authorized official

Name Ghada Abdallah
Title Owner
Phone 3138220100

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
333600000X Pharmacy Secondary
3336S0011X Specialty Pharmacy Secondary
3336L0003X Long Term Care Pharmacy Secondary 5301008498 MI
3336C0003X Community/Retail Pharmacy Primary 5301008498 MI

Other identifiers

Identifier Type State Issuer
4998649-87 Medicaid MI
2042400 Other PK
Copy-ready billing details
Provider: Park Pharmacy Inc
NPI: 1295824985
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 15126 KERCHEVAL AVE, Grosse Pointe Park, MI, 48230

Providers at this address

NPI Name Type Specialty Location
1740414903 Ghada Abdallah Individual Pharmacist Grosse Pointe Park, MI
1750613238 Bernadine Shaw-Scott Individual Registered Dietitian Grosse Pointe, MI
1134565633 Michael Pasqual Individual Pharmacotherapy Pharmacist Grosse Pointe Park, MI

Verify this record

Cross-check NPI 1295824985 against the authoritative CMS record: view Park Pharmacy Inc on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Park Pharmacy Inc?
Park Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-10-14.