Superior Compounding Pharmacy LLC
NPI 1093216616ActiveOrganization· Pharmacy, Specialty Pharmacy· Plymouth, MI
Pharmacy, Specialty Pharmacy in Plymouth, Michigan, registered in NPPES in February 2018. The authorized official on file is Ali Shehadeh, Owner. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1093216616 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2018 |
| Last updated in NPPES | Apr 21, 2021 |
| Certified by provider | Apr 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Pharmacy, Home Infusion Therapy Pharmacy | 3336H0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (MI) |
|---|
Other Pharmacy, Specialty Pharmacy providers in Plymouth
- 1124711411
- 1407457757