Organization Active NPI

Laplaza Pharmacy Inc

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1154361806
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LAPLAZA PHARMACY INC
Doing business as
LAPLAZA PHARMACY
Practice address
4639 W Vernor Hwy
Detroit, MI 48209-2117
Phone
(313) 843-2591
Fax
(313) 843-3363
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Wissam Beydonn
Title
Owner
Phone
(313) 843-2591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5315018606 MI
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4639 W Vernor Hwy
Detroit, MI 48209-2117

Mailing address

4639 W Vernor Hwy
Detroit, MI 48209-2117

Other identifiers 1

IdentifierTypeStateIssuer
2366082OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • LAPLAZA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4639 W Vernor Hwy
Detroit, MI 48209
Phone (313) 843-2591

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154361806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092117",
            "telephone_number": "313-843-2591",
            "fax_number": "313-843-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BEYDONN",
        "authorized_official_first_name": "WISSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-843-2591"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5315018606",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2366082",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAPLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.