Organization Active NPI

New Metro Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1053679910
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009788 Issued in MI
Legal business name
NEW METRO PHARMACY
Practice address
17932 Conant St
Detroit, MI 48212-1140
Phone
(313) 826-1812
Fax
(313) 826-1823
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Ahmad Rkein
Title
RPH
Phone
(480) 334-6600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301009788 MI Primary

Addresses

Primary practice location

17932 Conant St
Detroit, MI 48212-1140

Mailing address

17932 Conant St
Detroit, MI 48212-1140
Phone (313) 826-1812

Other identifiers 1

IdentifierTypeStateIssuer
2376716OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • New Metro Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

17932 Conant St
Detroit, MI 48212
Phone (313) 826-1812

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1053679910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17932 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121140",
            "telephone_number": "313-826-1812",
            "fax_number": "313-826-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17932 CONANT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121140",
            "telephone_number": "313-826-1812",
            "fax_number": "313-826-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW METRO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "RKEIN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "480-334-6600"
    },
    "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": "5301009788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2376716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Metro 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 Apr 30, 2012; 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.