Apex Drug Stores Inc
Organization Active NPI Community/Retail Pharmacy · West Bloomfield, MI
NPI 1124137682 · NPPES record last updated Mar 25, 2009
Key facts
- NPI
- 1124137682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 5845 (MI)
- Legal business name
- APEX DRUG STORES INC
- Practice address
- 5520 Drake Road
West Bloomfield, MI 48322-1259 - Phone
- (248) 661-0774
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Jennifer Zorek
- Title
- Manager Online Adjudication
- Phone
- (717) 975-5937
Other NPIs on the same Medicare enrollment 27
Practitioners 7
-
Maxine Acho, PHARMD
-
Wasan W Garmo, RN
-
Jyothi Kaza, RPH
-
Amir Merstani, RPH
-
Anas Rayes, RPH
-
Irvin Tevlo, RPH.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050819000067 | MI | Part B Supplier - Mass Immunization (Roster Biller Only) | 9830129832 |
33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Detroit, MI; Dowagiac, MI; Dearborn, MI; Farmington Hills, MI; Fenton, MI; Houghton Lake, MI; Livonia, MI; Mount Clemens, MI… |
National Provider Directory
Locations
5520 Drake Rd
West Bloomfield, MI 48322
Phone (248) 619-4556
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5845 | MI | Yes |
Addresses
Primary practice location
5520 Drake Road
West Bloomfield, MI 48322-1259
Mailing address
200 Newberry Commons
Etters, PA 17319-9363
Phone (717) 761-2633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2350584 | Other | OTHER ID NUMBER COMMERCIAL NUMBER | |
| 2350584 | Medicaid | MI |
Other names
- RITE AID PHARMACY 04399
Other providers in West Bloomfield, MI
- Sarah Ruqaiyah Anis
- Nashwan Gary Ankawi II
- Ann Marie Collins PHD Pmhnp LPC
- Autumn Joelle Aon
- Apd Plastics
- Alexandra Ohanian Apkarian
- Apna Ghar
- Kwabena Appiah
- Michael Applefield
- Kathryn Arafat
All providers in West Bloomfield, MI · Community/Retail Pharmacy in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.