Organization Active NPI

Sav-Max Merriman Pharmacy LLC

  • Community/Retail Pharmacy
  • Lincoln Park, MI
National Provider Identifier
1235731266
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAV-MAX MERRIMAN PHARMACY LLC
Practice address
2255 Fort St Ste B
Lincoln Park, MI 48146-2777
Phone
(313) 406-6209
Fax
(313) 406-6947
NPI assigned
Nov 13, 2020
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Abir BarakatNPI 1679171805
Title
Owner
Phone
(313) 406-6209

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 Primary

Addresses

Primary practice location

2255 Fort St Ste B
Lincoln Park, MI 48146-2777

Mailing address

2255 Fort St Ste B
Lincoln Park, MI 48146-2777
Phone (313) 406-6209

Other identifiers 1

IdentifierTypeStateIssuer
1235731266MedicaidMI

National Provider Directory

National Provider Directory

Locations

2255 Fort St
Ste B
Lincoln Park, MI 48146
Phone (313) 406-6209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1235731266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 FORT ST STE B",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462777",
            "telephone_number": "313-406-6209",
            "fax_number": "313-406-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 FORT ST STE B",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462777",
            "telephone_number": "313-406-6209",
            "fax_number": "313-406-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAV-MAX MERRIMAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "ABIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-406-6209"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235731266",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.