Organization Active NPI

Shree Ohm Inc

  • Community/Retail Pharmacy
  • Washington, MI
National Provider Identifier
1043748569
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011181 Issued in MI
Legal business name
SHREE OHM INC
Practice address
64580 Van Dyke Rd Ste D
Washington, MI 48095
Phone
(586) 315-2290
Fax
(586) 315-2294
NPI assigned
May 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Minaxi Bidja
Title
President
Phone
(586) 315-2290

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301011181 MI Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

64580 Van Dyke Rd Ste D
Washington, MI 48095

Mailing address

64580 Van Dyke Rd Ste D
Washington, MI 48095-2811
Phone (586) 315-2290

Other names 1

  • Romeo Plank Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

64580 Van Dyke Rd
Ste D
Washington Township, MI 48095
Phone (586) 315-2290

NPI Registry JSON

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

{
    "created_epoch": "1495929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1043748569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64580 VAN DYKE RD STE D",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952811",
            "telephone_number": "586-315-2290",
            "fax_number": "586-315-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64580 VAN DYKE RD STE D",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "48095",
            "telephone_number": "586-315-2290",
            "fax_number": "586-315-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE OHM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-28",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "BIDJA",
        "authorized_official_first_name": "MINAXI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-315-2290"
    },
    "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": "5301011181",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Romeo Plank Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Romeo Plank Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.