Active NPI
Northwestern RX, P.C.
- Community/Retail Pharmacy
- Southfield, MI
National Provider Identifier
1013409424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NORTHWESTERN RX, P.C.
- Doing business as
- NORTHWESTERN PHARMACY
- Practice address
- 26206 W 12 Mile Rd Ste 108
Southfield, MI 48034-1799 - Phone
- (248) 996-9335
- Fax
- (248) 864-8965
- NPI assigned
- May 31, 2018
- Organization subpart
- Yes
- Parent organization
- NORTHWESTERN RX, P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdallah Khashab
- Title
- Pharmacist
- Phone
- (248) 802-0248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
26206 W 12 Mile Rd Ste 108
Southfield, MI 48034-1799
Mailing address
26206 W 12 Mile Rd Ste 108
Southfield, MI 48034-1799
Other names 1
- NORTHWESTERN PHARMACY
National Provider Directory
National Provider Directory- Part of
- Esho Essi P C
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559520000000",
"number": "1013409424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26206 W 12 MILE RD STE 108",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26206 W 12 MILE RD STE 108",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341799",
"telephone_number": "248-996-9335",
"fax_number": "248-864-8965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWESTERN RX, P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHWESTERN RX, P.C.",
"enumeration_date": "2018-05-31",
"last_updated": "2019-06-03",
"status": "A",
"authorized_official_last_name": "KHASHAB",
"authorized_official_first_name": "ABDALLAH",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "248-802-0248"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTHWESTERN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.