NPIMap

Organization Active NPI

Medsmart Pharmacy LLC

  • Community/Retail Pharmacy
  • Warren, MI
National Provider Identifier
1114284247
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301009782 Issued in MI
Legal business name
MEDSMART PHARMACY LLC
Practice address
27101 Schoenherr Rd Ste 100
Warren, MI 48088-4730
Phone
(586) 298-6796
NPI assigned
Apr 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Emad Saleh
Title
Managing Director
Phone
(313) 414-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301009782 MI Primary

Addresses

Primary practice location

27101 Schoenherr Rd Ste 100
Warren, MI 48088-4730

Mailing address

27101 Schoenherr Rd
Suite 100
Warren, MI 48088-4730
Phone (586) 298-6796

Other identifiers 1

IdentifierTypeStateIssuer
2376627OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDSMART PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

27101 Schoenherr Rd
Ste 100
Warren, MI 48088
Phone (586) 298-6796

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1114284247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27101 SCHOENHERR RD",
            "address_2": "SUITE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884730",
            "telephone_number": "586-298-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27101 SCHOENHERR RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884730",
            "telephone_number": "586-298-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSMART PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "SALEH",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "313-414-7170"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2376627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSMART 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 Apr 13, 2012; 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.