Sav Max Glory #2

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009178 Issued in MI

Legal business name

SAV MAX GLORY #2

Practice address

14100 Woodward Ave
Highland Park, MI 48203-2936

Phone

(313) 252-2400

Fax

(313) 252-2459

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mahmound Rifai

Title

President

Phone

(313) 347-6022

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• SAV MAX GLORY Doing business as

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1245368901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032936",
            "telephone_number": "313-252-2400",
            "fax_number": "313-252-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482032936",
            "telephone_number": "313-252-2400",
            "fax_number": "313-252-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAV MAX GLORY #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "RIFAI",
        "authorized_official_first_name": "MAHMOUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-347-6022"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009178",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2369470",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAV MAX GLORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Munther Saleh
• Konstantine Salkeld, LLMSW
• Sanjay Lakhani MD PC
• Sanjay Lakhani MD PC
• Sav Max Glory #2
• Savannah Specialized Room & Board
• Savannah Specialized Room & Board Inc.
• Second Chance 2000 Inc.
• Second Chance 2000 Inc.
• Darryl Seldon

• Community/Retail Pharmacy in Highland Park, MI
• Providers in Highland 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 Sep 15, 2011; 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.