Westside Discount Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301008823 Issued in MI

Legal business name

WESTSIDE DISCOUNT PHARMACY

Practice address

18606 Fenkell St
Detroit, MI 48223-2315

Phone

(313) 273-8800

Fax

(313) 273-8809

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Munif Mawri

Title

Owner

Phone

(313) 414-4044

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• WESTSIDE DISCOUNT PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1245400084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18606 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18606 FENKELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232315",
            "telephone_number": "313-273-8800",
            "fax_number": "313-273-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MAWRI",
        "authorized_official_first_name": "MUNIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-414-4044"
    },
    "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": "5301008823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2370865",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTSIDE DISCOUNT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald L West
• Yvonne Fannie West, LMSW
• Jackie Western, RN
• Mary Carmel Frances Solinap Westlake
• Jessica Westrick
• Westside Pharmacy of Detroit Inc
• Westside Pharmacy of Detroit, Inc
• Jessica Wetherbee, MS, CGC
• Debra A Wetzel, M.D.
• Jason E Wetzel

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, 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 Apr 29, 2008; 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.