Active NPI
Hanan Pharmacy LLC
- Community/Retail Pharmacy
- Warren, MI
National Provider Identifier
1043836042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HANAN PHARMACY LLC
- Practice address
- 4600 E 14 Mile Road
Suite 2
Warren, MI 48092-1057 - Phone
- (586) 999-5951
- Fax
- (586) 554-7701
- NPI assigned
- Jun 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Hanan Pharmacy
- Title
- Owner
- Phone
- (586) 999-5951
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4600 E 14 Mile Road
Suite 2
Warren, MI 48092-1057
Mailing address
4600 E 14 Mile Rd Ste 2
Warren, MI 48092-4369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220126002782 | MI | Part B Supplier - Pharmacy | 9133511009 | Practice locations: Warren, MI |
National Provider Directory
National Provider DirectoryLocations
4600 E 14 Mile Rd
Ste 2
Warren, MI 48092
Phone (586) 274-9030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1043836042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 E 14 MILE RD STE 2",
"city": "WARREN",
"state": "MI",
"postal_code": "480924369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E 14 MILE ROAD",
"address_2": "SUITE 2",
"city": "WARREN",
"state": "MI",
"postal_code": "480921057",
"telephone_number": "586-999-5951",
"fax_number": "586-554-7701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANAN PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-25",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "PHARMACY",
"authorized_official_first_name": "HANAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-999-5951",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.