Organization Active NPI

Majestic Pharmacy LLC.

  • Community/Retail Pharmacy
  • Southfield, MI
National Provider Identifier
1235478934
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MAJESTIC PHARMACY LLC.
Practice address
25861 Lahser Rd
Southfield, MI 48033-5880
Phone
(248) 948-8800
Fax
(248) 750-0691
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Moomen Mirhom
Title
Owner
Phone
(248) 948-8800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

25861 Lahser Rd
Southfield, MI 48033-5880

Mailing address

25861 Lahser Rd
Southfield, MI 48033-5880

National Provider Directory

National Provider Directory

Locations

25861 Lahser Rd
Southfield, MI 48033
Phone (248) 948-8800

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": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1235478934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25861 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25861 LAHSER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335880",
            "telephone_number": "248-948-8800",
            "fax_number": "248-750-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC PHARMACY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "MIRHOM",
        "authorized_official_first_name": "MOOMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-948-8800"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.