Organization Active NPI

Express Discount Pharmacy LLC

  • Community/Retail Pharmacy
  • Detroit, MI
National Provider Identifier
1225537962
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301011289 Issued in MI
Legal business name
EXPRESS DISCOUNT PHARMACY LLC
Practice address
13325 Livernois Ave
Detroit, MI 48238
Phone
(313) 397-7358
Fax
(313) 397-7328
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Munif N MawriNPI 1528567260
Title
Owner
Phone
(313) 397-7358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301011289 MI Primary

Addresses

Primary practice location

13325 Livernois Ave
Detroit, MI 48238

Mailing address

13325 Livernois Ave
Detroit, MI 48238-3876
Phone (313) 397-7358

National Provider Directory

National Provider Directory

Locations

13325 Livernois Ave
Detroit, MI 48238
Phone (313) 397-7358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1225537962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13325 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383876",
            "telephone_number": "313-397-7358",
            "fax_number": "313-397-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13325 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48238",
            "telephone_number": "313-397-7358",
            "fax_number": "313-397-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "MAWRI",
        "authorized_official_first_name": "MUNIF",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-397-7358"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301011289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.