Organization Active NPI

Maumee Discount Pharmacy

  • Community/Retail Pharmacy
  • Maumee, OH
National Provider Identifier
1003299918
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RTP02253815003 Issued in OH
Legal business name
MAUMEE DISCOUNT PHARMACY
Practice address
316 W Dussel Dr
Maumee, OH 43537-1671
Phone
(419) 887-0101
Fax
(419) 887-0010
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bilal Salim
Title
Owner,Ao
Phone
(419) 345-7253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RTP02253815003 OH Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

316 W Dussel Dr
Maumee, OH 43537-1671

Mailing address

316 W Dussel Dr
Maumee, OH 43537-1671
Phone (419) 887-0101

Other identifiers 1

IdentifierTypeStateIssuer
2153522OtherPK

Other names 1

  • Maumee Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

909 S McCord Rd
Ste 1
Holland, OH 43528
Phone (419) 345-7253

316 W Dussel Dr
Maumee, OH 43537
Phone (419) 887-0101

1398 Conant St
Ste C
Maumee, OH 43537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1003299918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W DUSSEL DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371671",
            "telephone_number": "419-887-0101",
            "fax_number": "419-865-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W DUSSEL DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371671",
            "telephone_number": "419-887-0101",
            "fax_number": "419-887-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "OWNER,AO",
        "authorized_official_telephone_number": "419-345-7253"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "RTP02253815003",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153522",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maumee Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maumee Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.