Community RX Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COMMUNITY RX PHARMACY, LLC

Practice address

27124 Dequindre Rd
Warren, MI 48092-3537

Phone

(586) 920-2225

Fax

(586) 920-2226

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mahbubur Rahman Motlib

Title

Owner

Phone

(586) 920-2225

Specialties & licenses 1

Addresses

Other names 1

• Community Rx Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tania Begum, PHARMD

  • Pharmacist
  • Warren, MI
  • NPI 1215298435
  NPD
• Swathi Agisetti

  • Pharmacist
  • Warren, MI
  • NPI 1255923835
  NPD (past)

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1093057796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27124 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923537",
            "telephone_number": "586-920-2225",
            "fax_number": "586-920-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27124 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923537",
            "telephone_number": "586-920-2225",
            "fax_number": "586-920-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RX PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "MOTLIB",
        "authorized_official_first_name": "MAHBUBUR",
        "authorized_official_middle_name": "RAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-920-2225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Warren, MI
• Providers in Warren, 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 Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.