NPIMap

Organization Active NPI

Medstop Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1114393196
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDSTOP PHARMACY LLC
Practice address
10041 Fenkell St
Detroit, MI 48238-1643
Phone
(313) 933-0630
Fax
(313) 933-0632
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Basheer AltairiNPI 1386043743
Title
Owner
Phone
(313) 929-7667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10041 Fenkell St
Detroit, MI 48238-1643

Mailing address

10041 Fenkell St
Detroit, MI 48238-1643
Phone (313) 933-0630

National Provider Directory

National Provider Directory

Locations

10041 Fenkell St
Detroit, MI 48238
Phone (313) 933-0630

Practitioners & affiliated clinicians

Practitioners 2

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": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1114393196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10041 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381643",
            "telephone_number": "313-933-0630",
            "fax_number": "313-933-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381643",
            "telephone_number": "313-933-0630",
            "fax_number": "313-933-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTOP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "ALTAIRI",
        "authorized_official_first_name": "BASHEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-929-7667"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.