Organization Active NPI

Smada Enterprises Inc

Doing business as Barton Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1033151568
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301006288 Issued in MI
Legal business name
SMADA ENTERPRISES INC
Doing business as
Barton Pharmacy
Practice address
3950 Mount Elliott St
Detroit, MI 48207-1841
Phone
(313) 579-5502
Fax
(313) 579-5504
NPI assigned
Jun 11, 2006
Last updated
Aug 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Bashiru Adams
Title
Ceo
Phone
(313) 579-5502

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301006288 MI Primary

Addresses

Primary practice location

3950 Mount Elliott St
Detroit, MI 48207-1841

Mailing address

3950 Mount Elliott St
Detroit, MI 48207-1841
Phone (313) 579-5502

Other identifiers 2

IdentifierTypeStateIssuer
2354772MedicaidMI
2042807OtherPK

Other names 1

  • BARTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3950 Mount Elliott St
Detroit, MI 48207
Phone (313) 258-6325

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1033151568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 MOUNT ELLIOTT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071841",
            "telephone_number": "313-579-5502",
            "fax_number": "313-579-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 MOUNT ELLIOTT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071841",
            "telephone_number": "313-579-5502",
            "fax_number": "313-579-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMADA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BASHIRU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-579-5502"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301006288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354772",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.