Motor City Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301005113 Issued in MI

Legal business name

MOTOR CITY PHARMACY CORP

Practice address

20526 Plymouth Rd
Suite D
Detroit, MI 48228-1201

Phone

(313) 838-2555

Fax

(313) 838-1320

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Suzan Berry Fadlallah, RPH

Title

President/Pharmacist

Phone

(313) 838-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MOTOR CITY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1043482243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20526 PLYMOUTH RD",
            "address_2": "SUITE D",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281201",
            "telephone_number": "313-838-2555",
            "fax_number": "313-838-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20526 PLYMOUTH RD",
            "address_2": "SUITE D",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281201",
            "telephone_number": "313-838-2555",
            "fax_number": "313-838-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTOR CITY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "FADLALLAH",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "BERRY",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "313-838-2555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301005113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981639",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOTOR CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Motor City Health Group, LLC
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• Motor City Medical Group PLLC
• Motor City Muscle Transportation LLC
• Motor City Orthodontic Specialists
• Michael Patrick Mott, MD
• Timarie Motura, LLPC
• Alyssa Lee Motzel, DO
• Manini Moudgal, MD
• M. Anas Moughrabieh, MD

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Sep 11, 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.