Active NPI
Troy MB Pharmacy Inc
- Community/Retail Pharmacy
- Sterling Heights, MI
National Provider Identifier
1154584779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5301008835
- Legal business name
- TROY MB PHARMACY INC
- Doing business as
- TROY MB PHARMACY INC
- Practice address
- 35200 Dequindre Rd
Ste 200
Sterling Heights, MI 48310-4837 - Phone
- (586) 978-3000
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adel Makki, PHARM D
- Title
- Owner
- Phone
- (313) 598-3833
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5301008835 | MI | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Managed Care Organization Pharmacy | 3336M0003X |
Addresses
Primary practice location
35200 Dequindre Rd
Ste 200
Sterling Heights, MI 48310-4837
Mailing address
35200 Dequindre Rd
Ste 200
Sterling Heights, MI 48310-4837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2371386 | Other | OTHER ID NUMBER |
Other names 1
- TROY MB PHARMACY INC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1154584779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35200 DEQUINDRE RD",
"address_2": "STE 200",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35200 DEQUINDRE RD",
"address_2": "STE 200",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483104837",
"telephone_number": "586-978-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TROY MB PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "MAKKI",
"authorized_official_first_name": "ADEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-598-3833",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5301008835",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "2371386",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TROY MB PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.