Perrys Save on Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301009040 Issued in MI

Legal business name

PERRYS SAVE ON PHARMACY

Practice address

687 MLK Blvd N
Pontiac, MI 48342-1627

Phone

(248) 858-8400

NPI assigned

Jan 14, 2009

Last updated

Jan 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nick Mansour

Title

Owner/Manager

Phone

(248) 858-8400

Specialties & licenses 1

Addresses

Tax ID family

Perrys Save on Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Longacres Ana Inc

  dba Medina Pharmacy

  • Community/Retail Pharmacy
  • Dearborn, MI
  • NPI 1265721955
  NPD tax ID

Locations

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.

• Nasr Mansour

  • Pharmacist
  • Dearborn, MI
  • NPI 1699924746
  NPD

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1164669933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 MLK BLVD N",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 MLK BLVD N",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483421627",
            "telephone_number": "248-858-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYS SAVE ON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "248-858-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301009040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04301)
• Perry MLK Medical Center P.C.
• Dorene Lajuan Perry
• Rex Truman Perry
• Morgan Perryman, MD
• Jhonny Walter Perusina Banos, MD
• Petals of Life
• Nessetina Peters
• Paul Primo Petrucci, RPH
• Julie E Petrusha, BSW

• Pharmacy in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.