Express Meds LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301008495 Issued in MI

Legal business name

EXPRESS MEDS LLC

Practice address

28350 Gratiot Avenue
Roseville, MI 48066

Phone

(866) 561-3018

Fax

(586) 776-2634

NPI assigned

Oct 2, 2006

Organization subpart

No

Name

Jideofor N Dallah

Title

President

Phone

(248) 233-6511

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2008.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1104919729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 WEST TWELVE MILE ROAD",
            "address_2": "SUITE 488",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "248-233-6511",
            "fax_number": "248-233-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28350 GRATIOT AVENUE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "866-561-3018",
            "fax_number": "586-776-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "DALLAH",
        "authorized_official_first_name": "JIDEOFOR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-233-6511"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4941172",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Endocrine Shores PC
• Endodontic Associates
• Joel C Engel, DO
• Tanya Nicole Esmont, DNP, AGNP-C
• Evolving Changes Counseling Services LLC
• Eyeglass World
• Fadi-Jean Saad PLLC
• Faith Homecare Services, LLC.
• Faleh Husseini MD
• Family Drug Pharmacy, Inc

• All providers in Roseville, MI
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.