Detroit Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301011217 Issued in MI

Legal business name

DETROIT PHARMACY LLC

Practice address

1557 E 8 Mile Rd
Hazel Park, MI 48030-2637

Phone

(313) 922-6942

Fax

(313) 922-6941

NPI assigned

Aug 22, 2017

Last updated

May 12, 2024By 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

Punam Kumari

Title

Pharmacy Owner

Phone

(313) 922-6942

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715472000000",
    "number": "1174040026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 E 8 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302637",
            "telephone_number": "313-922-6942",
            "fax_number": "313-922-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 E 8 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480302637",
            "telephone_number": "313-922-6942",
            "fax_number": "313-922-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-05-12",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "KUMARI",
        "authorized_official_first_name": "PUNAM",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "313-922-6942"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; 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.