Organization Active NPI

Detroit Hope Pharmacy Inc

  • Community/Retail Pharmacy
  • Oak Park, MI
National Provider Identifier
1104938190
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008438 Issued in MI
Legal business name
DETROIT HOPE PHARMACY INC
Practice address
24695 Coolidge Hwy
Oak Park, MI 48237-1449
Phone
(248) 542-8888
Fax
(248) 542-8860
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Fayez Faraj, RPH
Title
President
Phone
(313) 377-1321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008438 MI Primary

Addresses

Primary practice location

24695 Coolidge Hwy
Oak Park, MI 48237-1449

Mailing address

24695 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (248) 542-8888

Other identifiers 1

IdentifierTypeStateIssuer
2046674OtherPK

Other names 1

  • DETROIT HOPE PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

24695 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 542-8888

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1104938190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24695 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371449",
            "telephone_number": "248-542-8888",
            "fax_number": "248-542-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24695 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371449",
            "telephone_number": "248-542-8888",
            "fax_number": "248-542-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT HOPE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "FARAJ",
        "authorized_official_first_name": "FAYEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-377-1321",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046674",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DETROIT HOPE PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.