Organization Active NPI

Eastpointe Medical Pharmacy LLC

Doing business as MedPointe Pharmacy

  • Community/Retail Pharmacy
  • Eastpointe, MI
National Provider Identifier
1144567843
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EASTPOINTE MEDICAL PHARMACY LLC
Doing business as
MedPointe Pharmacy
Practice address
22640 Kelly Rd
Eastpointe, MI 48021-2624
Phone
(586) 533-2835
Fax
(586) 533-2831
NPI assigned
Jan 15, 2013
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Ghazi AlsafariNPI 1982036067
Title
Pharm D
Phone
(586) 533-2835

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

22640 Kelly Rd
Eastpointe, MI 48021-2624

Mailing address

22640 Kelly Rd
Eastpointe, MI 48021-2624
Phone (586) 533-2835

Other identifiers 1

IdentifierTypeStateIssuer
1144567843MedicaidMI

Other names 1

  • MedPointe Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131231001286 MI DME Supplier - Pharmacy 1052549755 Practice locations: Eastpointe, MI
O20140113001451 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1052549755 Practice locations: Eastpointe, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eastpointe Medical Pharmacy LLC22640 Kelly Rd, Eastpointe, MI 48021-2624(586) 533-2835 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Aug 19, 2013

National Provider Directory

National Provider Directory

Locations

16546 E 9 Mile Rd
Eastpointe, MI 48021
Phone (586) 533-2835

22640 Kelly Rd
Eastpointe, MI 48021
Phone (586) 533-2835

Practitioners & affiliated clinicians

Practitioners 2

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": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1144567843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22640 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212624",
            "telephone_number": "586-533-2835",
            "fax_number": "586-533-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22640 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212624",
            "telephone_number": "586-533-2835",
            "fax_number": "586-533-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPOINTE MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "ALSAFARI",
        "authorized_official_first_name": "GHAZI",
        "authorized_official_title_or_position": "PHARM D",
        "authorized_official_telephone_number": "586-533-2835"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144567843",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPointe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedPointe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.