Sav Max Glory #2

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

5301008585 Issued in MI

Legal business name

SAV MAX GLORY #2

Practice address

14100 Woodward Ave
Highland Park, MI 48203-2936

Phone

(313) 252-2400

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mahmoud M Rifai

Title

Pharmacist

Phone

(313) 252-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sav Mart 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.

• Sav Mart Pharmacy

  • Pharmacotherapy Pharmacist
  • Detroit, MI
  • NPI 1124168513
  NPD tax ID

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124157052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032936",
            "telephone_number": "313-252-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032936",
            "telephone_number": "313-252-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAV MAX GLORY #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIFAI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "313-252-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "5301008585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4522719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S.a.Y Detroit Health Clinic
• Munther Saleh
• Konstantine Salkeld, LLMSW
• Sanjay Lakhani MD PC
• Sanjay Lakhani MD PC
• Sav Max Glory #2
• Savannah Specialized Room & Board
• Savannah Specialized Room & Board Inc.
• Second Chance 2000 Inc.
• Second Chance 2000 Inc.

• Preferred Provider Organization in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.