# COMMUNITY CARE RX LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346887866
- **Authorized official:** DR. MAISA JAMIE HIDER MD (OWNER)
- **Authorized official phone:** (313) 889-8909

## Contact information

- **Practice address:** 29484 FORD RD, GARDEN CITY, MI 48135-2318
- **Practice address phone:** (734) 743-3552
- **Mailing address:** 29484 FORD RD, GARDEN CITY, MI 48135-2318
- **Mailing address phone:** (734) 743-3552
- **Mailing address fax:** (734) 743-3561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2019
- **Last updated:** 02/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5301013030 | STATE LICENSE | MI |