Britam Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010429 Issued in MI

Legal business name

BRITAM PHARMACY LLC

Practice address

10832 Puritan St Ste 2
Detroit, MI 48238-1025

Phone

(313) 862-8888

Fax

(313) 862-8889

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Kingsley Jademi

Title

Pharmacist

Phone

(313) 862-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BRITAM PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1053721464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10832 PURITAN ST",
            "address_2": "STE #2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381025",
            "telephone_number": "313-862-8888",
            "fax_number": "313-862-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10832 PURITAN ST STE 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381025",
            "telephone_number": "313-862-8888",
            "fax_number": "313-862-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITAM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "JADEMI",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-862-8888"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRITAM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacesha Brintley, MD
• Hailey Briscoe
• Laurence E Briski, MD
• Beverly-Jean Brisko, CRNA
• Jorvon Brison Sr.
• Kimberly Britt, CRNA
• Symone Lanae Britt
• Vernice Britt
• Brittany Care Services
• Andrew E Britton, PHARM. D., MBA

• 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 May 7, 2014; 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.