Organization Active NPI

Madhusudan Inc

  • Community/Retail Pharmacy
  • Warren, MI
National Provider Identifier
1104097781
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008777 Issued in MI
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

Updated by the provider on Oct 14, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2370980OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HIGHLAND PARK PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.