Organization Active NPI

Wayne RX

  • Specialty Pharmacy
  • Wayne, MI
National Provider Identifier
1215570932
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
WAYNE RX
Practice address
4603 Wayne Rd
Wayne, MI 48184
Phone
(313) 888-5888
NPI assigned
Oct 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Michael Haidar
Title
Owner
Phone
(313) 888-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

4603 Wayne Rd
Wayne, MI 48184

Mailing address

4603 Wayne Rd
Wayne, MI 48184
Phone (313) 888-5888

National Provider Directory

National Provider Directory

Locations

4603 S Wayne Rd
Wayne, MI 48184
Phone (313) 777-7778

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1215570932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4603 WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "48184",
            "telephone_number": "313-888-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 WAYNE RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "48184",
            "telephone_number": "313-888-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "HAIDAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-888-5888"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.