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Export Provider Record NPI 1265721955
Longacres Ana Inc
Organization Subpart: NO
Active
NPI Number1265721955
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1265721955
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2011-04-03
Last Updated2016-12-29
Authorized OfficialNasr Mansour
president
Phone: 3133976919
Mailing Address8744 W Warren Ave
Dearborn, MI 48126-4043
United States
Phone: (313) 396-7691 | Fax: (313) 397-9258
📍 View Map
Primary Practice Address8744 W Warren Ave
Dearborn, MI 48126-4043
United States
Phone: (313) 397-6919 | Fax: (313) 397-9258
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyMI5301009552
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About NPI 1265721955

Longacres Ana Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1265721955. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Dearborn, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-04-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1265721955?

NPI 1265721955 belongs to Longacres Ana Inc, a Pharmacy, Community/Retail Pharmacy in Dearborn, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1265721955 active?

The current status of NPI 1265721955 in the NPPES registry is Active. The record was last updated on 2016-12-29.

What specialty is NPI 1265721955?

NPI 1265721955 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1265721955?

You can verify NPI 1265721955 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1265721955?

The primary practice address on file for NPI 1265721955 is 8744 W Warren Ave, Dearborn, MI 48126-4043. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1265721955 issued?

NPI 1265721955 was first issued (enumerated) on 2011-04-03. The NPPES record was last updated on 2016-12-29.

Practice Location Map

Longacres Ana Inc is located at 8744 W Warren Ave, Dearborn, MI. Use the map below to find directions or verify the practice location.

📍 8744 W Warren Ave, Dearborn, MI 48126-4043  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Longacres Ana Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1265721955. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy5301009552MI
Data Verified from CMS NPPES Last synced: 2026-07-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162