Organization Active NPI

Rigley'S Drug Store LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1083930382
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009307 Issued in MI
Legal business name
RIGLEY'S DRUG STORE LLC
Doing business as
RIGLEY'S DRUG STORE LLC
Practice address
12266 Gratiot Ave
Detroit, MI 48205-3904
Phone
(313) 924-5163
NPI assigned
Apr 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Hussein HusseinNPI 1871813527
Title
Pharmd/Member
Phone
(313) 924-5163

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 5301009307 MI Primary

Addresses

Primary practice location

12266 Gratiot Ave
Detroit, MI 48205-3904

Mailing address

12266 Gratiot Ave
Detroit, MI 48205
Phone (313) 924-5163

Other identifiers 1

IdentifierTypeStateIssuer
2373859OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • RIGLEY'S DRUG STORE LLC Doing business as

National Provider Directory

National Provider Directory

Locations

12278 Gratiot Ave
Detroit, MI 48205
Phone (313) 273-8800

12266 Gratiot Ave
Detroit, MI 48205
Phone (313) 372-6661

Practitioners & affiliated clinicians

Practitioners 2

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": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1083930382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12266 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48205",
            "telephone_number": "313-924-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053904",
            "telephone_number": "313-924-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGLEY'S DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "PHARMD/MEMBER",
        "authorized_official_telephone_number": "313-924-5163"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2373859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIGLEY'S DRUG STORE 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 May 17, 2011; 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.