Healthcenter Pharmacy, LLC
NPI 1104397843ActiveOrganization· Pharmacy· Saint Clair Shores, MI
Pharmacy in Saint Clair Shores, Michigan, registered in NPPES in December 2018. The authorized official on file is Mustafa M. Haidar, PHARMD, Pharmacist/Pic. Medicare paid $3,096 for services to 13 patients in 2024.
Overview
| NPI | 1104397843 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 6, 2018 |
| Last updated in NPPES | Aug 23, 2024 |
| Certified by provider | Aug 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 38 across 7 procedure codes |
| Paid by Medicare | $3,096 |
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