Clinic RX 2 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011143 Issued in MI

Legal business name

CLINIC RX 2 LLC

Doing business as

Med rite Pharmacy

Practice address

23850 Van Born Rd
Dearborn Heights, MI 48125

Phone

(313) 914-2223

Fax

(313) 914-2553

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Hussein Abdallah

Title

Owner

Phone

(313) 247-0227

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Med rite Pharmacy Doing business as

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1033639109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 VANBORN RD.",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "313-914-2223",
            "fax_number": "313-914-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23850 VAN BORN RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "48125",
            "telephone_number": "313-914-2223",
            "fax_number": "313-914-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC RX 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-247-0227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169991",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med rite Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.