NPIMap

Organization Active NPI

Express RX LLC

  • Community/Retail Pharmacy
  • Westland, MI
National Provider Identifier
1063730182
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009320 Issued in MI
Legal business name
EXPRESS RX LLC
Doing business as
Express Rx LLC
Practice address
8343 N Wayne Rd
Westland, MI 48185-1351
Phone
(734) 956-5275
Fax
(734) 956-5356
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mohamed Dabaja
Title
Owner/Manager
Phone
(313) 399-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009320 MI Primary

Addresses

Primary practice location

8343 N Wayne Rd
Westland, MI 48185-1351

Mailing address

8343 N Wayne Rd
Westland, MI 48185-1351
Phone (734) 956-5275

Other identifiers 1

IdentifierTypeStateIssuer
2374015OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Express Rx LLC Doing business as

National Provider Directory

National Provider Directory

Locations

8343 N Wayne Rd
Westland, MI 48185
Phone (734) 956-5275

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1063730182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851351",
            "telephone_number": "734-956-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8343 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851351",
            "telephone_number": "734-956-5275",
            "fax_number": "734-956-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "DABAJA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "313-399-3565"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2374015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.