Queens Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008288 Issued in MI

Legal business name

QUEENS PHARMACY

Practice address

15007 Eureka Rd
Southgate, MI 48195-2609

Phone

(734) 285-2010

Fax

(734) 285-0393

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Shadi Saad

Title

Owner

Phone

(734) 285-2010

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1235144841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15007 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15007 EUREKA RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952609",
            "telephone_number": "734-285-2010",
            "fax_number": "734-285-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "SAAD",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-285-2010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2367868",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2367868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Puhl
• Tenetia Pulliam
• Jerald Purifoy, MD
• Tamara Marie Purtell, MA, LPC, NCC, CAADC
• Josalynn Qualls
• Rachelle Quenneville, PHARM.D
• Trevor Quenneville
• Questions & Exploration Therapy, LLC
• Usama Quraishi
• R.R. Vemuri, M.D.

• Community/Retail Pharmacy in Southgate, MI
• Providers in Southgate, 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 Jul 20, 2007; 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.