Organization Active NPI

Adams Pharmacy, LLC

Doing business as Adams Pharmacy

  • Community/Retail Pharmacy
  • Lincoln Park, MI
National Provider Identifier
1114326949
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301010704 Issued in MI
Legal business name
ADAMS PHARMACY, LLC
Doing business as
Adams Pharmacy
Practice address
1373 Dix Hwy
Lincoln Park, MI 48146-1346
Phone
(313) 381-0070
Fax
(313) 381-0071
NPI assigned
Aug 18, 2014
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Adham Mallah
Title
Owner
Phone
(313) 478-7823

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301010704 MI Primary

Addresses

Primary practice location

1373 Dix Hwy
Lincoln Park, MI 48146-1346

Mailing address

1373 Dix Hwy
Lincoln Park, MI 48146-1346
Phone (313) 381-0070

Other names 1

  • Adams Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adams Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1114326949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461346",
            "telephone_number": "313-381-0070",
            "fax_number": "313-381-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 DIX HWY",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461346",
            "telephone_number": "313-381-0070",
            "fax_number": "313-381-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "MALLAH",
        "authorized_official_first_name": "ADHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-478-7823"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.