NPIMap

Organization Active NPI

Jans Discount Pharmacy Inc

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1073621447
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007018 Issued in MI
Legal business name
JANS DISCOUNT PHARMACY INC
Doing business as
JANS DISCOUNT SAVMOR PHARMACY
Practice address
1700 Junction St
Detroit, MI 48209-2110
Phone
(313) 843-8770
Fax
(313) 843-8775
NPI assigned
Aug 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Stephen Graham
Title
Manager Pharmacy Services
Phone
(248) 348-1570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301007018 MI Primary

Addresses

Primary practice location

1700 Junction St
Detroit, MI 48209-2110

Mailing address

43155 W 9 Mile Rd
Novi, MI 48375-4190

Other identifiers 2

IdentifierTypeStateIssuer
2360117MedicaidMI
2360117OtherOTHER ID NUMBER

Other names 1

  • JANS DISCOUNT SAVMOR PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jans Discount Pharmacy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1073621447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43155 W 9 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 JUNCTION ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092110",
            "telephone_number": "313-843-8770",
            "fax_number": "313-843-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANS DISCOUNT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER PHARMACY SERVICES",
        "authorized_official_telephone_number": "248-348-1570"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2360117",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2360117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JANS DISCOUNT SAVMOR 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 15, 2008; 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.