Organization Active NPI

Xpress Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1053907493
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
XPRESS CARE PHARMACY LLC
Practice address
3040 E 7 Mile Rd
Detroit, MI 48234-1662
Phone
(313) 914-3736
Fax
(313) 914-5105
NPI assigned
Dec 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Hussein Baadani, PHARM D.NPI 1659909216
Title
Pharmacist in Charge/ Owner
Phone
(313) 720-3959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3040 E 7 Mile Rd
Detroit, MI 48234-1662

Mailing address

3040 E 7 Mile Rd
Detroit, MI 48234-1662
Phone (313) 914-3736

Other identifiers 1

IdentifierTypeStateIssuer
1053907493MedicaidMI

Other names 1

  • Xpress Care Pharmacy LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220307001328 MI Part B Supplier - Pharmacy 4486048550 Practice locations: Detroit, MI

National Provider Directory

National Provider Directory
Tax ID family
Xpress Care Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7431 W Vernor Hwy
Detroit, MI 48209
Phone (313) 914-3736

3040 E 7 Mile Rd
Detroit, MI 48234
Phone (313) 368-0705

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1053907493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341662",
            "telephone_number": "313-914-3736",
            "fax_number": "313-914-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341662",
            "telephone_number": "313-914-3736",
            "fax_number": "313-914-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XPRESS CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "BAADANI",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/ OWNER",
        "authorized_official_telephone_number": "313-720-3959",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053907493",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xpress Care Pharmacy LLC",
            "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 Aug 23, 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.

Verify at the official NPI Registry.