Organization Active NPI

Troy MB Pharmacy Inc

  • Community/Retail Pharmacy
  • Sterling Heights, MI
National Provider Identifier
1154584779
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008835 Issued in MI
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

Updated by the provider on Jul 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2371386OtherOTHER ID NUMBER

Other names 1

  • TROY MB PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.