Dix Boro Pharmacy PC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009615 Issued in MI

Legal business name

DIX BORO PHARMACY PC

Practice address

5770 Plymouth Rd
Ann Arbor, MI 48105-9312

Phone

(734) 214-1234

Fax

(734) 214-1235

NPI assigned

Jul 10, 2011

Organization subpart

No

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

Authorized official

Name

Raad Kouza

Title

Owner

Phone

(734) 214-1234

Specialties & licenses 1

Addresses

Other names 1

• DIXBORO VILLAGE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1093002115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059312",
            "telephone_number": "734-214-1234",
            "fax_number": "734-214-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059312",
            "telephone_number": "734-214-1234",
            "fax_number": "734-214-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIX BORO PHARMACY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-10",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "KOUZA",
        "authorized_official_first_name": "RAAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-214-1234"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIXBORO VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Diuble
• Alexandra Cailyn Diver
• Divine Mercy LLC
• Erin Michelle Diviney Chun, MD
• Murtaza Diwan, MD
• Jocelyn Dixey
• Dhaval Dixit, MD/PHD
• Charlotte Dixon
• Emily Dixon, RD
• Sarah Dixon, M.D.

• Community/Retail Pharmacy in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.