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Deactivated NPI 1477641702 Deactivated / Inactive NPI Male Practitioner

Morris Prostak , RPH

Pharmacist • Dearborn Heights, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Morris Prostak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date March 12, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Morris Prostak, RPH was a registered Pharmacist practicing in Dearborn Heights, MI. Throughout an active medical career spanning 20 years, Morris Prostak provided care at the practice location at 8641 N TELEGRAPH RD until profile deactivation on 2026-03-12.

Practice Location & Contact Primary Location

Practice Address

8641 N Telegraph Rd

Dearborn Heights, MI 481271425

Telephone 3132745300

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Dearborn Heights, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
84 Specialists

Practicing in Dearborn Heights, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302020106

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1194813881

Registered Pharmacist

Hadar Granader , RPH

Pharmacist - Geriatric

NPI 1932325867

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 12, 2026

Record deactivated on March 12, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8641 N TELEGRAPH RD, DEARBORN HEIGHTS, MI 481271425 (Tel: 3132745300)

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Updated Business Mailing Address July 08, 2007

Registered at 26019 WOODVILLA PL, SOUTHFIELD, MI 480764733 (Tel: 2485697118)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MORRIS PROSTAK, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #5302020106 in MI)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477641702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: July 08, 2007
Deactivation Date: March 12, 2026

Mailing Address

26019 Woodvilla Pl

Southfield, MI 480764733

Phone: 2485697118

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.