Organization Active NPI

Pharmacarxe of Sterling Heights LLC

  • Community/Retail Pharmacy
  • Sterling Heights, MI
National Provider Identifier
1114354164
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACARXE OF STERLING HEIGHTS LLC
Practice address
4135 15 Mile Rd
Sterling Heights, MI 48310-5400
Phone
(586) 268-1888
Fax
(586) 268-1811
NPI assigned
Oct 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Stephanie Sakellis
Title
Owner
Phone
(248) 925-7103

Specialties & licenses 1

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

Addresses

Primary practice location

4135 15 Mile Rd
Sterling Heights, MI 48310-5400

Mailing address

4135 15 Mile Rd
Sterling Heights, MI 48310-5400
Phone (586) 268-1888

Other identifiers 2

IdentifierTypeStateIssuer
1114354164MedicaidMI
079480475OtherNJD-U-N-S

Other names 1

  • Pharmacare of Sterling Heights/ Pharmacarxe Former legal business name

National Provider Directory

National Provider Directory

Locations

4135 15 Mile Rd
Sterling Heights, MI 48310
Phone (586) 268-1888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1114354164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105400",
            "telephone_number": "586-268-1888",
            "fax_number": "586-268-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105400",
            "telephone_number": "586-268-1888",
            "fax_number": "586-268-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACARXE OF STERLING HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "SAKELLIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-925-7103"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114354164",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D-U-N-S",
            "identifier": "079480475",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacare of Sterling Heights/ Pharmacarxe",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.