Active NPI
Madhusudan Inc
- Community/Retail Pharmacy
- Warren, MI
National Provider Identifier
1104097781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008777
- Legal business name
- MADHUSUDAN INC
- Practice address
- 28001 Schoenherr Rd
Ste 1
Warren, MI 48088-4396 - Phone
- (586) 582-0700
- Fax
- (586) 582-1315
- NPI assigned
- Mar 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vinod Patel
- Title
- President
- Phone
- (586) 582-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301008777 | MI | Primary |
Addresses
Primary practice location
28001 Schoenherr Rd
Ste 1
Warren, MI 48088-4396
Mailing address
PO Box 87451
Canton, MI 48187-0451
Phone (586) 582-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2370980 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- HIGHLAND PARK PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1104097781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87451",
"city": "CANTON",
"state": "MI",
"postal_code": "481870451",
"telephone_number": "586-582-0700",
"fax_number": "586-582-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28001 SCHOENHERR RD",
"address_2": "STE 1",
"city": "WARREN",
"state": "MI",
"postal_code": "480884396",
"telephone_number": "586-582-0700",
"fax_number": "586-582-1315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADHUSUDAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-21",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VINOD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-582-0700"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301008777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2370980",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HIGHLAND PARK PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.