Organization Active NPI

Northwestern RX, P.C.

  • Community/Retail Pharmacy
  • Southfield, MI
National Provider Identifier
1013409424
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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)CodeLicenseStatePrimary
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 Doing business as

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.

Verify at the official NPI Registry.