Anata LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010529 Issued in MI

Legal business name

ANATA LLC

Practice address

9731 Harper Ave
Detroit, MI 48213-2700

Phone

(313) 922-2900

Fax

(313) 922-2901

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Mahmoud Rifai, RPH

Title

Owner/Pic

Phone

(937) 389-0000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Watson Pharmacy Doing business as

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1124428412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9731 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132700",
            "telephone_number": "313-922-2900",
            "fax_number": "313-922-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9731 HARPER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132700",
            "telephone_number": "313-922-2900",
            "fax_number": "313-922-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "RIFAI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "937-389-0000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Detroit, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.