MEDICARE: OPTIMAL CARE PHARMACY

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	333600000X	Pharmacy	5301008057	MI
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2365977	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366453870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL CARE PHARMACY

Provider Business Mailing Address
First Line	:	14455 FORD RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3174
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14455 FORD RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3174
Country	:	US
Telephone Number	:	313-945-6333
Fax Number	:	313-945-6369

Authorized Official
Title or Position	:	OWNER
Name	:	SAMERA BERRY
Credential	:
Telephone Number	:	313-945-6333

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1770793416 — ELIANA BITAR M.D.
Practice Location Address:

14461 FORD RD
DEARBORN, MI
48126-3174

Practice Phone: 313-551-4008
Practice Fax: 313-254-2987

1225332505 — HEIGHTS WOMENS HEALTH CENTER PLLC
Practice Location Address:

14461 FORD RD
DEARBORN, MI
48126-3174

Practice Phone: 313-551-4008
Practice Fax: 313-254-2987

1750216479 — ZEINAB HASSAN CHAHINE
Practice Location Address:

5111 AUTO CLUB DR
DEARBORN, MI
48126-2749

Practice Phone: 313-406-5056
Practice Fax:

1740115468 — TYAN LASHAY BONNER
Practice Location Address:

5111 AUTO CLUB DR STE 200
DEARBORN, MI
48126-2749

Practice Phone: 313-406-5056
Practice Fax:

1144155896 — CORY HUGHES
Practice Location Address:

4953 SCHAEFER RD
DEARBORN, MI
48126-3260

Practice Phone: 657-444-9002
Practice Fax:

1871428532 — SHENA CISERO
Practice Location Address:

5111 AUTO CLUB DR
DEARBORN, MI
48126-2749

Practice Phone: 313-406-5056
Practice Fax:

Directions to “OPTIMAL CARE PHARMACY ” 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.