Organization Active NPI

Platinum Care Pharmacy Inc.

Doing business as Platinum Care Pharmacy

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1063560761
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PLATINUM CARE PHARMACY INC.
Doing business as
Platinum Care Pharmacy
Practice address
8500 14TH Street
Detroit, MI 48206
Phone
(313) 894-0451
Fax
(313) 894-0456
NPI assigned
Jan 8, 2007
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Mr. Val A Ogbonnaya, RPH
Title
Direction Pharmacy Operations
Phone
(313) 894-0451

Specialties & licenses 1

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

Addresses

Primary practice location

8500 14TH Street
Detroit, MI 48206

Mailing address

27139 W Skye Dr
Farmington Hills, MI 48334
Phone (313) 894-0451

Other identifiers 1

IdentifierTypeStateIssuer
4110468MedicaidMI

Other names 1

  • PLATINUM CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

8500 14th St
Detroit, MI 48206
Phone (313) 894-3950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1063560761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27139 W SKYE DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "313-894-0451",
            "fax_number": "313-894-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 14TH STREET",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48206",
            "telephone_number": "313-894-0451",
            "fax_number": "313-894-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM CARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "OGBONNAYA",
        "authorized_official_first_name": "VAL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTION PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "313-894-0451",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110468",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLATINUM CARE 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 Jan 30, 2017; 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.