Fa Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007798 Issued in MI

Legal business name

FA ENTERPRISES INC

Practice address

15101 Southfield Rd
Ste 101
Allen Park, MI 48101-2697

Phone

(313) 928-4922

Fax

(313) 928-4923

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Numan Ali-Ahmed, RPH

Title

Pharmacy Manager

Phone

(313) 928-4922

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• MED/RX Doing business as
• MEDRX Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1245324656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD RD",
            "address_2": "STE 101",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012697",
            "telephone_number": "313-928-4922",
            "fax_number": "313-928-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 SOUTHFIELD RD",
            "address_2": "STE 101",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012697",
            "telephone_number": "313-928-4922",
            "fax_number": "313-928-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ALI-AHMED",
        "authorized_official_first_name": "NUMAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "313-928-4922",
        "authorized_official_credential": "RPH"
    },
    "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": "5301007798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046560",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365357",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED/RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDRX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDRX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Allen Park, MI
• Providers in Allen Park, 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 Jun 16, 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.