Organization Active NPI

Dollar Mart Pharmacy

  • Community/Retail Pharmacy
  • Warren, MI
National Provider Identifier
1144383779
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008551 Issued in MI
Legal business name
DOLLAR MART PHARMACY
Doing business as
Dollar Mart Pharmacy
Practice address
13465 E 12 Mile Rd
Warren, MI 48088-3625
Phone
(586) 576-0334
Fax
(586) 576-0455
NPI assigned
Dec 18, 2006
Last updated
Mar 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
George Harb, RPHNPI 1861061715
Title
Pharmacist
Phone
(248) 207-3116

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 5301008551 MI Primary

Addresses

Primary practice location

13465 E 12 Mile Rd
Warren, MI 48088-3625

Mailing address

13465 E 12 Mile Rd
Warren, MI 48088-3625
Phone (586) 576-0334

Other identifiers 1

IdentifierTypeStateIssuer
2042544OtherPK

Other names 1

  • DOLLAR MART PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

13465 E 12 Mile Rd
Warren, MI 48088
Phone (586) 576-0334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1144383779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13465 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883625",
            "telephone_number": "586-576-0334",
            "fax_number": "586-576-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13465 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883625",
            "telephone_number": "586-576-0334",
            "fax_number": "586-576-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLLAR MART PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "HARB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "248-207-3116",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2042544",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOLLAR MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.