MEDICARE: RX PRIME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1245022532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RX PRIME LLC

Provider Business Mailing Address
First Line	:	14234 W WARREN AVE
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-1457
Country	:	US
Telephone Number	:	313-850-5592
Fax Number	:

Provider Business Practice Location Address
First Line	:	14234 W WARREN AVE
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-1457
Country	:	US
Telephone Number	:	313-850-5592
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	AMANDA BERRY
Credential	:
Telephone Number	:	313-850-5592

Provider Enumeration Date	:	05/21/2025
Last Update Date	:	05/21/2025

Similar Medicare Providers

1013442847 — SAMIA HAMWAY-ESSAILI RPH
Practice Location Address:

14234 W WARREN AVE
DEARBORN, MI
48126-1457

Practice Phone: 313-945-1288
Practice Fax: 313-945-5788

1396364501 — SIMPLE SCRIPT, LLC
Practice Location Address:

14234 W WARREN AVE
DEARBORN, MI
48126-1457

Practice Phone: 313-461-2772
Practice Fax:

1184401572 — MR. MAHMOUD NAJIB ABDULKARIM
Practice Location Address:

14234 W WARREN AVE
DEARBORN, MI
48126-1457

Practice Phone: 313-633-9301
Practice Fax:

1811902935 — WALGREEN CO
Practice Location Address:

8706 N TELEGRAPH RD
DEARBORN HEIGHTS, MI
48127-1457

Practice Phone: 313-724-9078
Practice Fax:

1417237900 — NIKHILKUMAR SHAH
Practice Location Address:

8706 N TELEGRAPH RD
DEARBORN HEIGHTS, MI
48127-1457

Practice Phone: 313-724-9078
Practice Fax:

1326329806 — BHAVESH PATEL
Practice Location Address:

8706 N TELEGRAPH RD
DEARBORN HEIGHTS, MI
48127-1457

Practice Phone: 313-724-9078
Practice Fax:

Directions to “RX PRIME LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.